Individual provider · Type 1 NPI
Thomas Black, NP
Family Nurse Practitioner · Edgewood, NM
NPI number
1619346376
Active
Practice location
104 Quail Trail, Unit B
Edgewood, NM 87015
Fax (505) 717-2884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 02922 (NM) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
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About NPI 1619346376
Thomas Black, NP's National Provider Identifier is 1619346376, issued on Sep 23, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edgewood, NM. The record was last updated on Jul 26, 2021.