AUTUMN BLACK

Nurse Practitioner - Family

Active Individual
NPI: 1376137414

Practice Address

2100 MILLVALE RD
Louisville, KY 40205

Phone: (443) 383-9300

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 3014903 (KY)

Frequently Asked Questions

NPI 1376137414 is the National Provider Identifier for AUTUMN BLACK, a Nurse Practitioner - Family provider located in Louisville, KY. This NPI was enumerated on March 1, 2021.
AUTUMN BLACK practices at 2100 MILLVALE RD, Louisville, KY 40205.

Quick Facts

NPI
1376137414
Type
Individual
Enumerated
Mar 1, 2021
Last Updated
Nov 17, 2022

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