person
Theresa Marie Black, APRN
Gerontology Nurse Practitioner in Melbourne, Florida
NPI 1164119269

Theresa Marie Black is a Gerontology Nurse Practitioner based in Melbourne, FL and is specialized in Gerontology. Theresa Marie Black practices in Melbourne, FL and has the professional credentials of APRN. The NPI Number for Theresa Marie Black is 1164119269 and holds a License No. APRN11025876 (Florida).

The current practice location address for Theresa Marie Black is 402 N Babcock St Ste 102, Melbourne, FL and can be reached out via phone at 321-241-6540 and via fax at 321-428-4442. You can also correspond with Theresa Marie Black through the mailing address at PO BOX 361095, MELBOURNE, FL - 32936-1095 (mailing address contact number: 321-253-2900).

Location: 402 N Babcock St Ste 102, Melbourne, FL, 32936-1095
person
Provider Profile Details
NPI Number
1164119269
Provider Name
Theresa Marie Black
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
402 N Babcock St Ste 102, Melbourne, FL, 32936-1095
Phone Number
321-241-6540
Fax Number
321-428-4442
Provider Enumeration Date
04/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
402 N Babcock St Ste 102
City
State
Zip
32935-7335
Phone Number
321-241-6540
Fax Number
321-428-4442
person
Provider Business Mailing Address Details
Address
Po Box 361095
City
State
Zip
32936-1095
Phone Number
321-253-2900
Fax Number
321-435-0100
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
APRN11025876 (Florida)
Definition
Definition to come...
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