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Catherine R Black
Family Nurse Practitioner in Provo, Utah
NPI 1366623191

Catherine R Black is a Family Nurse Practitioner based in Provo, UT and is specialized in Family. Catherine R Black practices in Provo, UT. The NPI Number for Catherine R Black is 1366623191 and holds a License No. 198805-4405 (Utah).

The current practice location address for Catherine R Black is 280 River Park Dr, Provo, UT and can be reached out via phone at 801-223-4860 and via fax at 801-371-8993.

Location: 280 River Park Dr, Provo, UT, 84604-5764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366623191
Provider Name
Catherine R Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
280 River Park Dr, Provo, UT, 84604-5764
Phone Number
801-223-4860
Fax Number
801-371-8993
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
280 River Park Dr
City
Provo
State
Utah
Zip
84604-5764
Phone Number
801-223-4860
Fax Number
801-371-8993
person
Provider Business Mailing Address Details
Address
280 River Park Dr
City
Provo
State
Utah
Zip
84604-5764
Phone Number
801-223-4860
Fax Number
801-371-8993
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
198805-4405 (Utah)
Definition
Definition to come...
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