THOMAS BLACK, NP
Nurse Practitioner - Family
Active
Individual
NPI: 1619346376
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 02922 (NM) |
Frequently Asked Questions
NPI 1619346376 is the National Provider Identifier for THOMAS BLACK, NP, a Nurse Practitioner - Family provider located in Edgewood, NM. This NPI was enumerated on September 23, 2015.
THOMAS BLACK, NP practices at 104 QUAIL TRAIL, UNIT B, Edgewood, NM 87015.
Quick Facts
- NPI
- 1619346376
- Type
- Individual
- Enumerated
- Sep 23, 2015
- Last Updated
- Jul 26, 2021
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