person
Michelle M. Black, CRNP
Adult Health Nurse Practitioner in State College, Pennsylvania
NPI 1083902316

Michelle M. Black is an Adult Health Nurse Practitioner based in State College, PA and is specialized in Adult Health. Michelle M. Black practices in State College, PA and has the professional credentials of CRNP. The NPI Number for Michelle M. Black is 1083902316 and holds a License No. SP011489 (Pennsylvania).

The current practice location address for Michelle M. Black is 120 Radnor Rd Ste 100, State College, PA and can be reached out via phone at 814-231-7868 and via fax at 814-238-4169.

Location: 120 Radnor Rd Ste 100, State College, PA, 16801-7970
person
Provider Profile Details
NPI Number
1083902316
Provider Name
Michelle M. Black
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
120 Radnor Rd Ste 100, State College, PA, 16801-7970
Phone Number
814-231-7868
Fax Number
814-238-4169
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 Radnor Rd Ste 100
City
State
Zip
16801
Phone Number
814-231-7868
Fax Number
814-238-4169
person
Provider Business Mailing Address Details
Address
120 Radnor Rd Ste 100
City
State
Zip
16801
Phone Number
814-231-7868
Fax Number
814-238-4169
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
SP011489 (Pennsylvania)
Definition
Definition to come...
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