Individual provider · Type 1 NPI
Dallas Black, ARNP
Acute Care Nurse Practitioner · Ottumwa, IA
NPI number
1760156665
Active
Practice location
1011 Pennsylvania Ave
Ottumwa, IA 52501-2129
Mailing address
PO Box 1179
Ottumwa, IA 52501-7179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | H165013 (IA) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1760156665
Dallas Black, ARNP's National Provider Identifier is 1760156665, issued on Aug 4, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ottumwa, IA. The record was last updated on Jan 21, 2022.