Individual
LAURA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
163 N MAIN ST, NORTH BROOKFIELD, MA 01535-1400
(508) 637-1604
(508) 637-1605
Mailing address
163 N MAIN ST STE B, NORTH BROOKFIELD, MA 01535-1400
(508) 637-1604
(508) 637-1605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
186294
MA
Other
Enumeration date
09/10/2009
Last updated
12/12/2025
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