Individual provider · Type 1 NPI
Tanya J. Black, APRN, BC
Family Nurse Practitioner · St. Cloud, MN
NPI number
1770680894
Active
Practice location
4801 Veterans Dr, St Cloud Vahcs
St. Cloud, MN 56303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2006005172 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1770680894
Tanya J. Black, APRN, BC's National Provider Identifier is 1770680894, issued on Sep 20, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Cloud, MN. The record was last updated on Jan 26, 2016.