Individual
KAREN J BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 177781-1
MN
164W00000X
Licensed Practical Nurse
Primary
L0566531-1
MN
Other
Enumeration date
03/21/2007
Last updated
09/11/2025
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