Individual
BRIANNE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 996-3844
Mailing address
9959 DETROIT ST, THORNTON, CO 80229-2632
(303) 289-2790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0204402
CO
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.0204402
STATE OF COLO DEPT OF REGULATORY AGENCIES
CO
Enumeration date
09/10/2007
Last updated
06/29/2023
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