Individual
ERIN E. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1510 N STOCKTON HILL RD, KINGMAN, AZ 86401-5173
(928) 753-1177
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(285) 229-9879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
298274
AZ
Other
Enumeration date
10/02/2023
Last updated
10/06/2023
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