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LAURA ANN BLACK F.N.P.

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1346591104

Individual Registrant:
 LAURA ANN BLACK F.N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
717 CENTER ST  HEALDSBURG, CA 95448-3604 US
Tel: 707-433-7258  Fax: --

Contact information for business:
717 CENTER ST  HEALDSBURG, CA 95448-3604 US
Tel: 707-433-7258  Fax: --

Registration Information:
NPI: 1346591104
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA22370

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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