Individual
SHARI L BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
230 NEBRASKA ST, SIOUX CITY, IA 51101-1733
(712) 252-0088
(712) 252-5271
Mailing address
230 NEBRASKA ST, SIOUX CITY, IA 51101-1733
(712) 252-0088
(712) 252-5271
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H-130547
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088955
—
IA
Enumeration date
04/10/2006
Last updated
12/13/2012
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