Individual provider · Type 1 NPI

Catherine R. Black

Family Nurse Practitioner · Provo, UT

NPI number 1366623191 Active

Practice location

280 River Park Dr, Suite 200
Provo, UT 84604-5764

Fax (801) 371-8993

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X198805-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1366623191

Catherine R. Black's National Provider Identifier is 1366623191, issued on Nov 20, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Provo, UT. The record was last updated on Mar 21, 2014.