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MRS. PATRICIA ANN BLACK RN

Psychiatric/Mental Health, Child & Adolescent >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1851514764

Individual Registrant:
MRS. PATRICIA ANN BLACK RN
Gender: F
Sole Proprietor

Location and contact information for practice:
217 E SANILAC RD  SANDUSKY, MI 48471-1383 US
Tel: 810-648-4327  Fax: 810-648-4338

Contact information for business:
4402 VAN DYKE RD  BROWN CITY, MI 48416-9631 US
Tel: 810-537-2139  Fax: --

Registration Information:
NPI: 1851514764
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WP0807XNursing Service Providers
Registered Nurse
Psychiatric/Mental Health, Child & Adolescent
MI4704069005

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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