Individual
SUELLEN M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4506 N ARMENIA AVE, TAMPA, FL 33603-2732
(813) 879-3530
(813) 874-6608
Mailing address
4506 N ARMENIA AVE, TAMPA, FL 33603-2732
(813) 879-3530
(813) 874-6608
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
9347255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9347255
ARNP LICENSE
FL
Enumeration date
10/09/2012
Last updated
10/09/2012
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