Individual provider · Type 1 NPI

Freda Ann Black, NURSE PRACTITIONER

Adult Health Nurse Practitioner · South Bend, IN

NPI number 1740296516 Active

Practice location

112 W Jefferson Blvd
South Bend, IN 46601-1923

Fax (574) 546-1999

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X209.005685 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X71001497 (IN)

Adult Health Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1740296516

Freda Ann Black, NURSE PRACTITIONER's National Provider Identifier is 1740296516, issued on Jul 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in South Bend, IN. The record was last updated on Sep 8, 2016.