Individual
ANGELICA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
905 TOWER RD # 3188, BRISTOL, PA 19007-3116
(443) 383-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 483-9300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP027905
PA
Other
Enumeration date
09/19/2023
Last updated
03/21/2025
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