Individual
MRS. SARA E. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2301 ERWIN ROAD, DURHAM, NC 27710
(919) 681-8111
(919) 681-8808
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010190
NC
363L00000X
Nurse Practitioner
SP014055
PA
Other
Enumeration date
09/05/2014
Last updated
06/26/2018
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