Michael R Black
Nurse Practitioner, Psych/Mental Health in Seattle, WA. Individual provider (NPI-1).
NPI number1750858072
StatusActive
Last updated in NPPESApr 23, 2026
Details
- NPI
- 1750858072
- Entity type
- Individual (NPI-1)
- Name
- Michael R Black
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2018
- Certification date
- Apr 23, 2026
- Last updated
- Apr 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP70094717 | WA | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | rn60417384 | WA |
Practice location
901 Rainier Ave SSeattle, WA 98144-2839
Phone 206-470-3880
Mailing address
901 Rainier Ave SSeattle, WA 98144-2839
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