Individual provider · Type 1 NPI
Maurice Ellis Blackbird, DNP, APRN, FNP-BC
Primary Care Nurse Practitioner · Winnebago, NE
NPI number
1821861840
Active
Practice location
225 Bluff St
Winnebago, NE 68071-9703
Fax (402) 243-1310
Mailing address
PO Box 213
Rosalie, NE 68055-0213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 114952 (NE) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1821861840
Maurice Ellis Blackbird, DNP, APRN, FNP-BC's National Provider Identifier is 1821861840, issued on Nov 1, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Winnebago, NE. The record was last updated on Jul 30, 2026.