Black, Dianne M.
Black, Dianne M. is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Black, Dianne M. can be contacted via phone (401) 444-4000.Contact Information
Primary practice address
593 Eddy St Claverick 2
Providence RI 02903-4923
Phone: (401) 444-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN01118 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NPP37734 | Rhode Island |
Profile Details
| NPI number | 1023355765 |
|---|---|
| LBN Legal business name | Black, Dianne M. |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2013 |
| Last updated | Dec 5th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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