Individual provider · Type 1 NPI

Ellie Catharine Black, FNP-C

Family Nurse Practitioner · Sparks, NV

NPI number 1962009324 Active

Practice location

5265 Vista Blvd Bldg B
Sparks, NV 89436-0836

Call (775) 352-5335 Map

Fax (775) 352-5334

Mailing address

2345 E Prater Way Ste 207
Sparks, NV 89434-9634

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner	363LP2300X	95014901 (CA)
Family Nurse Practitioner Primary	363LF0000X	832783 (NV)

Family Nurse Practitioner: Definition to come...

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Maria D. Juarez-Cardenas, APRNFamily Nurse Practitioner Sparks, NV NPI 1952028557

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About NPI 1962009324

Ellie Catharine Black, FNP-C's National Provider Identifier is 1962009324, issued on Oct 7, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sparks, NV. The record was last updated on Apr 16, 2021.