Michelle R Black in Bowling Green - Family

Michelle R Black - NPI 1053411132

Michelle R Black is a Family in Bowling Green, Kentucky. Michelle R Black practices all healthcare services and medical treatments related to Family. The NPI Number for Michelle R Black is 1053411132. The last update date is 2014-04-02.

Michelle R Black's current location address is Po Box 90039, Bowling Green, Kentucky. You can contact this provider via phone number 2707968800 and fax number 2707969328. The mailing address for Michelle R Black is Po Box 90039, Bowling Green, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle R Black
Address Po Box 90039, Bowling Green, Kentucky
Phone Number 2707968800
Fax Number 2707969328
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1053411132
Provider Enumeration Date 2006-09-25
Last Updated Date 2014-04-02

Provider Mailing Address Detail

Address Po Box 90039
City Bowling Green
State Kentucky (KY)
Post Code 421029039
Phone Number 2707968800
Fax Number 2707969328

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 3003025
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
78003662 KY --

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FAQs about Michelle R Black

What is the unique identifier code issued to Michelle R Black by the Centers for Medicare & Medicaid Services (CMS)?

The Michelle R Black has been assigned the NPI (National Provider Identifier) 1053411132. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Michelle R Black?

The Michelle R Black is physically situated at Po Box 90039, in the city of Bowling Green, state of KY, with the postal code 421029039.

What is Michelle R Black's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michelle R Black is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1053411132 to Michelle R Black?

The Centers for Medicare & Medicaid Services assigned the 1053411132 to Michelle R Black on 2006-09-25.

As of what date was the information pertaining to Michelle R Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michelle R Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-02.

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