Stacy Black, APRN
Nurse Practitioner in Parkland, FL. Individual provider (NPI-1).
NPI number1659030856
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1659030856
- Entity type
- Individual (NPI-1)
- Name
- Stacy Black
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2021
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11016313 | FL | Yes |
Practice location
8701 Waterview TerParkland, FL 33076-2868
Phone 954-729-0195
Mailing address
8701 Waterview TerParkland, FL 33076-2868
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