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Individual
SHEILA BLACK
Active
Individual
SHEILA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240338
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080244
—
AZ
01
—
240338
STATE BOARD OF NURSING
AZ
Enumeration date
05/13/2020
Last updated
02/03/2025
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