Individual
DANIELLE LEA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
4961 ROBERTS RD, HILLIARD, OH 43026-8129
(401) 770-3433
Mailing address
620 S CLEVELAND AVE, WESTERVILLE, OH 43081-8970
(401) 770-3433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R-161420-4
MN
363LF0000X
Family Nurse Practitioner
Primary
COA 13327 NP
OH
Other
Enumeration date
08/20/2007
Last updated
02/15/2019
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