Black, Elizabeth
Black, Elizabeth is an individual health care provider with primary practice located at 8920 Southpointe Dr Ste B , Indianapolis IN 46227-7505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Black, Elizabeth can be contacted via phone (317) 497-1900.Contact Information
Primary practice address
8920 Southpointe Dr Ste B
Indianapolis IN 46227-7505
Phone: (317) 497-1900
Fax: (317) 497-1919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 71003918A | Indiana |
Profile Details
| NPI number | 1205194875 |
|---|---|
| LBN Legal business name | Black, Elizabeth |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2012 |
| Last updated | Apr 21st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205194875 | NPPES |
| Indiana | Other | 71003918A | RN LICENSE |
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