ELLIE BLACK, FNP-C
Nurse Practitioner - Family
Active
Individual
NPI: 1962009324
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Primary Care | 363LP2300X | No | 95014901 (CA) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 832783 (NV) |
Frequently Asked Questions
NPI 1962009324 is the National Provider Identifier for ELLIE BLACK, FNP-C, a Nurse Practitioner - Family provider located in Sparks, NV. This NPI was enumerated on October 7, 2020.
ELLIE BLACK, FNP-C practices at 5265 VISTA BLVD BLDG B, Sparks, NV 89436.
Quick Facts
- NPI
- 1962009324
- Type
- Individual
- Enumerated
- Oct 7, 2020
- Last Updated
- Apr 16, 2021
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