Individual provider · Type 1 NPI
Kiley Elizabeth Black, NP
Nurse Practitioner · Minneapolis, MN
Practice location
2545 Chicago Ave, Suite 601
Minneapolis, MN 55404-4522
Fax (612) 863-7772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R 1403224 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1306989405
Kiley Elizabeth Black, NP's National Provider Identifier is 1306989405, issued on Feb 15, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 17, 2010.