Individual
KATHERINE ROSS BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
951 BRICKELL AVE APT 1103, MIAMI, FL 33131-3934
(601) 720-6121
Mailing address
951 BRICKELL AVE APT 1103, MIAMI, FL 33131-3934
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101911
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2024
Last updated
05/19/2025
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