Black, Susan Irene

Black, Susan Irene is an individual health care provider with primary practice located at 1224 E Lowell St Bldg 95, Tucson AZ 85721-0095. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Black, Susan Irene can be contacted via phone (520) 621-4801.

Contact Information

Primary practice address
1224 E Lowell St Bldg 95 Tucson AZ 85721-0095
Phone: (520) 621-4801
Fax: (520) 626-5736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN039229 Arizona

Profile Details

NPI number 1144351800
LBN Legal business name Black, Susan Irene
Credentials RN, NP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 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.

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