Laurie Jo Black is a Pediatrics in Saint Cloud, Minnesota. Laurie Jo Black practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Laurie Jo Black is 1679551329. The last update date is 2014-11-20.
Laurie Jo Black's current location address is 1200 6th Ave N, Saint Cloud, Minnesota. You can contact this provider via phone number 3202512700. The mailing address for Laurie Jo Black is 1200 6th Ave N, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Jo Black |
|---|---|
| Address | 1200 6th Ave N, Saint Cloud, Minnesota |
| Phone Number | 3202512700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN CNP |
NPI Number Detail
| NPI Number | 1679551329 |
|---|---|
| Provider Enumeration Date | 2006-01-04 |
| Last Updated Date | 2014-11-20 |
Provider Mailing Address Detail
| Address | 1200 6th Ave N |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 563032735 |
| Phone Number | 3202512700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | ARNP2638602 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 307418800 | FL | -- |
Post Comment/ Review Below
What is the Laurie Jo Black's 1679551329?
The Laurie Jo Black's NPI (National Provider Identifier) Number is 1679551329. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Laurie Jo Black is physically located?
The Laurie Jo Black is physically situated at the following address: 1200 6Th Ave N, Saint Cloud, MN, 563032735.
What is the area of specialization for Laurie Jo Black, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Laurie Jo Black is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
When was the Laurie Jo Black's 1679551329 issued?
The Laurie Jo Black's 1679551329 was issued on 2006-01-04.
As of what date was the information regarding Laurie Jo Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Laurie Jo Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-20.
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