Individual
HEATHER RENEE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
760 HOSPITAL CIRCLE, BROWNING, MT 59417
(406) 338-6100
(406) 338-6195
Mailing address
232 2ND AVE SE, CUT BANK, MT 59427-3416
(406) 845-4993
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
126733
MT
163WG0000X
General Practice Registered Nurse
126733
MT
163WM0705X
Medical-Surgical Registered Nurse
126733
MT
163WP2201X
Ambulatory Care Registered Nurse
126733
MT
163WP2201X
Ambulatory Care Registered Nurse
Primary
31609
AK
Other
Enumeration date
07/19/2010
Last updated
06/05/2021
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