Phyllis Black is a Nurse's Aide in Fort Pierce, Florida. Phyllis Black practices all healthcare services and medical treatments related to Nurse's Aide. The NPI Number for Phyllis Black is 1295950392. The last update date is 2007-07-08.
Phyllis Black's current location address is 2925 Navajo Ave, Fort Pierce, Florida. You can contact this provider via phone number 7724679439. The mailing address for Phyllis Black is 2925 Navajo Ave, Fort Pierce, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Black |
|---|---|
| Address | 2925 Navajo Ave, Fort Pierce, Florida |
| Phone Number | 7724679439 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1295950392 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2925 Navajo Ave |
|---|---|
| City | Fort Pierce |
| State | Florida (FL) |
| Post Code | 349466740 |
| Phone Number | 7724679439 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse's Aide |
|---|---|
| Taxonomy | 376K00000X |
| Licence No | CNA40739 |
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Definition: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course genera |
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Post Comment/ Review Below
What is the unique identifier code issued to Phyllis Black by the Centers for Medicare & Medicaid Services (CMS)?
The Phyllis Black has been assigned the NPI (National Provider Identifier) 1295950392. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Phyllis Black?
The Phyllis Black is situated at 2925 Navajo Ave, in the city of Fort Pierce, state of FL, with the zip code 349466740.
What is the Phyllis Black's area of specialization and corresponding taxonomy classification?
The Phyllis Black's specialty field is Nurse's Aide, and it falls under the taxonomy code 376K00000X, which categorizes healthcare providers based on their specialties.
On what date did the Phyllis Black receive its 1295950392 assignment from the Centers for Medicare & Medicaid Services?
The Phyllis Black was assigned its 1295950392 by the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information pertaining to Phyllis Black most recently updated or revised?
The details related to Phyllis Black, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.