Individual
KAREN M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 N ELM ST STE 3509, GREENSBORO, NC 27401-1004
(336) 832-4380
(336) 832-4382
Mailing address
1200 N ELM ST STE 3509, GREENSBORO, NC 27401-1004
(336) 832-4380
(336) 832-4382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
89612
NC
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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