Colleen Rae Black in Fresno - Nurse Practitioner
Colleen Rae Black - NPI 1801879879
Colleen Rae Black is a Nurse Practitioner in Fresno, California. Colleen Rae Black practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Colleen Rae Black is 1801879879. The last update date is 2021-12-29.
Colleen Rae Black's current location address is 2823 Fresno St, Fresno, California. You can contact this provider via phone number 5594996540 and fax number 5594996541. The mailing address for Colleen Rae Black is 2823 Fresno St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Colleen Rae Black |
---|---|
Address | 2823 Fresno St, Fresno, California |
Phone Number | 5594996540 |
Fax Number | 5594996541 |
Sole Proprietor | N |
Credentials | MSN RNP CN |
NPI Number Detail
NPI Number | 1801879879 |
---|---|
Provider Enumeration Date | 2005-11-23 |
Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
Address | 2823 Fresno St |
---|---|
City | Fresno |
State | California (CA) |
Post Code | 937211324 |
Phone Number | 5594996540 |
Fax Number | 5594996541 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
---|---|
Taxonomy | 363L00000X |
Licence No | 6558 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
449993 | CA | REGISTERED NURSE | |
6558 | CA | NURSE PRACTITIONER | |
1129 | CA | NURSE MIDWIFE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Colleen Rae Black?
The Colleen Rae Black has been issued the NPI (National Provider Identifier) 1801879879 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Colleen Rae Black is physically located?
The Colleen Rae Black is situated at the following address: 2823 Fresno St, Fresno, CA 937211324.
What is Colleen Rae Black's specialized field of practice, and what is the corresponding taxonomy classification code?
The Colleen Rae Black's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Colleen Rae Black receive its 1801879879 assignment from the Centers for Medicare & Medicaid Services?
The Colleen Rae Black was assigned its 1801879879 by the Centers for Medicare & Medicaid Services on 2005-11-23.
When was the information related to Colleen Rae Black most recently updated or refreshed?
The details pertaining to the Colleen Rae Black, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-29.
NPI Number: 1134122146
Address: P. O. Box 31911, Tampa, FL
NPI Number: 1629071758
Address: 1600 Prairie Center Pkwy, Brighton, CO