Individual
MICHAELA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
304 INVERNESS WAY S STE 225, ENGLEWOOD, CO 80112-5841
(970) 310-3406
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(888) 965-4615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1655261
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1000567-NP
CO
Other
Enumeration date
02/21/2024
Last updated
04/21/2026
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