Individual
NANCILEE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11042 63RD AVE, SEMINOLE, FL 33772-6879
(727) 319-8447
Mailing address
11042 63RD AVE, SEMINOLE, FL 33772-6879
(727) 319-8447
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP1030102
FL
Other
Enumeration date
05/11/2008
Last updated
05/11/2008
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