Brenda Marie Black in Reidsville - Licensed Practical Nurse
Brenda Marie Black - NPI 1518122563
Brenda Marie Black is a Licensed Practical Nurse in Reidsville, Georgia. Brenda Marie Black practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Brenda Marie Black is 1518122563. The last update date is 2008-07-18.
Brenda Marie Black's current location address is Po Box 818, Reidsville, Georgia. You can contact this provider via phone number 9125576794 and fax number 9125576817. The mailing address for Brenda Marie Black is Po Box 818, Reidsville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Marie Black |
|---|---|
| Address | Po Box 818, Reidsville, Georgia |
| Phone Number | 9125576794 |
| Fax Number | 9125576817 |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1518122563 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2008-07-18 |
Provider Mailing Address Detail
| Address | Po Box 818 |
|---|---|
| City | Reidsville |
| State | Georgia (GA) |
| Post Code | 304530818 |
| Phone Number | 9125576794 |
| Fax Number | 9125576817 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LPN051788 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brenda Marie Black by the Centers for Medicare & Medicaid Services?
The Brenda Marie Black has been issued the NPI (National Provider Identifier) 1518122563 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Brenda Marie Black is physically located?
The Brenda Marie Black is situated at the following address: Po Box 818, Reidsville, GA 304530818.
What is Brenda Marie Black's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brenda Marie Black's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518122563 to Brenda Marie Black?
The Brenda Marie Black received its 1518122563 assignment from the Centers for Medicare & Medicaid Services on 2008-07-18.
As of what date were the details related to Brenda Marie Black most recently updated or revised?
The information pertaining to Brenda Marie Black, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-18.