Individual
EMILY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP PMHNP-BC
Contact information
Practice address
600 5TH ST, AMES, IA 50010-6085
(515) 233-1122
Mailing address
555 SW 7TH ST UNIT 8, DES MOINES, IA 50309-4532
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
152689
IA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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