Black, Nancy A

Black, Nancy A is an individual health care provider with primary practice located at 516 Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Black, Nancy A can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 Nizhoni Blvd Gallup NM 87301-5748
Fax: (505) 722-1310
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L13493 New Mexico

Profile Details

NPI number 1508040270
LBN Legal business name Black, Nancy A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 18th, 2007 - about 19 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.

Request for update

Popular Providers