PHYLLIS BLACK

Nurse's Aide

Active Individual
NPI: 1295950392

Practice Address

2925 NAVAJO AVE
Fort Pierce, FL 34946

Phone: (772) 467-9439

Specialties

Specialty Code Primary License
Nurse's Aide 376K00000X Yes CNA40739 (FL)

Frequently Asked Questions

NPI 1295950392 is the National Provider Identifier for PHYLLIS BLACK, a Nurse's Aide provider located in Fort Pierce, FL. This NPI was enumerated on April 16, 2007.
PHYLLIS BLACK practices at 2925 NAVAJO AVE, Fort Pierce, FL 34946.

Quick Facts

NPI
1295950392
Type
Individual
Enumerated
Apr 16, 2007
Last Updated
Jul 8, 2007

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