Doctor Name: | NATALIE NICOLE BLACK |
NPI Number: | 1346680329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | A03701 |
Business Practice Address: | 4 Hospital Dr Morrilton, AR - 721104510 |
Business Phone Number: | 5013544637 |
Business Fax Number: | |
Mailing Address: | 4 Hospital Dr, MORRILTON |
State: | AR |
Postal Code: | 721104510 |
Phone Number: | 5013544637 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2013 |
NPI Last Update Date: | 07/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | A03701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |