Individual provider · Type 1 NPI
Penny Rene O'Brien-Black, CNP, RN
Adult Health Nurse Practitioner · Bedford, OH
NPI number
1114164324
Active
Practice location
19999 Rockside Rd
Bedford, OH 44146-2074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP-10452 (OH) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1114164324
Penny Rene O'Brien-Black, CNP, RN's National Provider Identifier is 1114164324, issued on Jan 9, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bedford, OH. The record was last updated on Dec 10, 2009.