Black, Shari L

Black, Shari L is an individual health care provider with primary practice located at 230 Nebraska St , Sioux City IA 51101-1733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Black, Shari L can be contacted via phone (712) 252-0088.

Contact Information

Primary practice address
230 Nebraska St Sioux City IA 51101-1733
Phone: (712) 252-0088
Fax: (712) 252-5271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X H-130547 Iowa

Profile Details

NPI number 1831152925
LBN Legal business name Black, Shari L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Dec 13th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831152925 NPPES
Iowa MEDICAID 0088955

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