Individual provider · Type 1 NPI

Theresa Ann Black, FNP-BC

Family Nurse Practitioner · Buckhannon, WV

NPI number 1790982080 Active

Practice location

11 N Locust St
Buckhannon, WV 26201-4707

Call (304) 472-1600 Map

Mailing address

812 Gorman Avenue
Elkins, WV 26241

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X49062 (WV)
Family Nurse Practitioner Primary 363LF0000X49062 (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1790982080

Theresa Ann Black, FNP-BC's National Provider Identifier is 1790982080, issued on Jun 29, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Buckhannon, WV. The record was last updated on Nov 29, 2023.