Individual
CATHERINE M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
339 W MAIN ST, AVON, CT 06001-4322
(860) 696-2150
(860) 696-2155
Mailing address
1206 N GRAVEL PIKE, ZIEGLERSVILLE, PA 19492-9727
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11328
CT
363LF0000X
Family Nurse Practitioner
SP018464
PA
Other
Enumeration date
05/24/2018
Last updated
12/14/2022
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