Individual provider · Type 1 NPI

Keicha Black

Licensed Practical Nurse · Silver Spring, MD

NPI number 1760926265 Active

Practice location

962 Wayne Ave, Suite 600
Silver Spring, MD 20910-4433

Call (301) 585-9595 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP34016 (MD)

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 1760926265

Keicha Black's National Provider Identifier is 1760926265, issued on Dec 19, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Silver Spring, MD. The record was last updated on Dec 19, 2016.