Individual
MISS CHRISTINE MAIRE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
21141 STERLING AVE UNIT 1, GEORGETOWN, DE 19947-5571
(302) 856-6967
Mailing address
5 OSPREY LN, MIDDLETOWN, DE 19709-9179
(302) 883-9361
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
LJ-0000379
DE
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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