Individual
KRISTEN ELAINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
354 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 797-0210
Mailing address
354 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 676-0160
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R209202
MD
363LG0600X
Gerontology Nurse Practitioner
RN706137
MD
363LG0600X
Gerontology Nurse Practitioner
SP023459
PA
Other
Enumeration date
04/01/2021
Last updated
11/04/2025
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