Individual provider · Type 1 NPI
Megan Lynne Black, APRN, AGNP-C
Primary Care Nurse Practitioner · Portland, ME
NPI number
1982056347
Active
Practice location
43 Baxter Blvd
Portland, ME 04101-1823
Mailing address
68 Pleasant St, Apt 2
Portland, ME 04101-3967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | CNP161083 (ME) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1982056347
Megan Lynne Black, APRN, AGNP-C's National Provider Identifier is 1982056347, issued on Jul 11, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Portland, ME. The record was last updated on Jul 11, 2016.