Individual provider · Type 1 NPI

Samuel Harvil Black

Psychiatric/Mental Health Registered Nurse · Toledo, OH

NPI number 1497621577 Active

Practice location

1425 Starr Ave
Toledo, OH 43605-2456

Fax (419) 936-7606

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN.310483 (OH)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1497621577

Samuel Harvil Black's National Provider Identifier is 1497621577, issued on Oct 15, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Toledo, OH. The record was last updated on Oct 15, 2025.