Individual provider · NPI-1

Maria Nicole Black, MSN, APN, FNP-BC

Nurse Practitioner, Family · Toms River, NJ

NPI number1306576822
StatusActive
Last updated in NPPESSep 5, 2023

Details

NPI
1306576822
Entity type
Individual (NPI-1)
Name
Mrs. Maria Nicole Black
Credential
MSN, APN, FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2022
Certification date
Sep 5, 2023
Last updated
Sep 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26NJ01406200NJYes

Practice location

99 Highway 37
Toms River, NJ 08755-6423

Phone 973-336-1760

Mailing address

46 Brittany Dr
Bayville, NJ 08721-2497

Phone 973-336-1760

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