person
Sousan Yazdi Black, ARNP
Adult Health Nurse Practitioner in Fort Myers, Florida
NPI 1144632217

Sousan Yazdi Black is an Adult Health Nurse Practitioner based in Fort Myers, FL and is specialized in Adult Health. Sousan Yazdi Black practices in Fort Myers, FL and has the professional credentials of ARNP. The NPI Number for Sousan Yazdi Black is 1144632217 and holds a License No. ARNP9293083 (Florida).

The current practice location address for Sousan Yazdi Black is 8931 Colonial Center Dr, Fort Myers, FL and can be reached out via phone at 239-938-0800 and via fax at 239-938-0890.

Location: 8931 Colonial Center Dr, Fort Myers, FL, 33916-2216
person
Provider Profile Details
NPI Number
1144632217
Provider Name
Sousan Yazdi Black
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
8931 Colonial Center Dr, Fort Myers, FL, 33916-2216
Phone Number
239-938-0800
Fax Number
239-938-0890
Provider Enumeration Date
05/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8931 Colonial Center Dr
City
State
Zip
33905-7809
Phone Number
239-938-0800
Fax Number
239-938-0890
person
Provider Business Mailing Address Details
Address
8931 Colonial Center Dr
City
State
Zip
33905-7809
Phone Number
239-938-0800
Fax Number
239-938-0890
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
ARNP9293083 (Florida)
Definition
Definition to come...
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