Individual provider · Type 1 NPI
Nancy A. Black, LPN
Licensed Practical Nurse · Gallup, NM
NPI number
1508040270
Active
Practice location
516 Nizhoni Blvd
Gallup, NM 87301-5748
Fax (505) 722-1310
Mailing address
PO Box 1337
Gallup, NM 87305-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L13493 (NM) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1508040270
Nancy A. Black, LPN's National Provider Identifier is 1508040270, issued on Dec 18, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gallup, NM. The record was last updated on Dec 18, 2007.