Individual provider · Type 1 NPI

Alyssa Nichole Black

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1952187130 Active

Practice location

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690

Call (801) 373-4760 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952187130

Alyssa Nichole Black's National Provider Identifier is 1952187130, issued on Sep 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Sep 5, 2023.