Sheri L Black, RN,BSN
Registered Nurse, General Practice in Phoenix, AZ. Individual provider (NPI-1).
NPI number1174135867
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1174135867
- Entity type
- Individual (NPI-1)
- Name
- Sheri L Black
- Credential
- RN,BSN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2020
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 239835 | AZ | Yes |
| 163W00000X | Registered Nurse | 239835 | AZ | |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 239835 | AZ | |
| 163WA2000X | Registered Nurse, Administrator | 239835 | AZ | |
| 163WC0400X | Registered Nurse, Case Management | 239835 | AZ | |
| 163WC1500X | Registered Nurse, Community Health | 239835 | AZ | |
| 163WM0705X | Registered Nurse, Medical-Surgical | 239835 | AZ | |
| 163WN1003X | Registered Nurse, Nutrition Support | 239835 | AZ | |
| 163WP0000X | Registered Nurse, Pain Management | 239835 | AZ | |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 239835 | AZ | |
| 174H00000X | Health Educator | 239835 | AZ |
Practice location
3146 E Wier AvePhoenix, AZ 85040-2754
Phone 602-845-0224
Mailing address
1812 E Erie StChandler, AZ 85225-5249
Phone 919-673-8697
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