Phyllis Black
Nurse's Aide in Fort Pierce, FL. Individual provider (NPI-1).
NPI number1295950392
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295950392
- Entity type
- Individual (NPI-1)
- Name
- Phyllis Black
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | CNA40739 | FL | Yes |
Practice location
2925 Navajo AveFort Pierce, FL 34946-6740
Phone 772-467-9439
Mailing address
2925 Navajo AveFort Pierce, FL 34946-6740
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All 23 Nurse's Aide providers in Fort Pierce · All 2,414 providers in Fort Pierce
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