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Mandy Beth Black, FNP-C
Family Nurse Practitioner in Rensselaer, New York
NPI 1386049385

Mandy Beth Black is a Family Nurse Practitioner based in Albany, NY and is specialized in Family. Mandy Beth Black practices in Rensselaer, NY and has the professional credentials of FNP-C. The NPI Number for Mandy Beth Black is 1386049385 and holds a License No. 339091 (New York).

The current practice location address for Mandy Beth Black is 279 Troy Rd, Rensselaer, NY and can be reached out via phone at 518-286-1922.

Location: 279 Troy Rd, Rensselaer, NY, 12212-4890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386049385
Provider Name
Mandy Beth Black
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
279 Troy Rd, Rensselaer, NY, 12212-4890
Phone Number
518-286-1922
Fax Number
Provider Enumeration Date
11/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03993955 05 NY
institution
Provider Business Practice Location Address Details
Address
279 Troy Rd
City
Rensselaer
State
New York
Zip
12144-9518
Phone Number
518-286-1922
Fax Number
person
Provider Business Mailing Address Details
Address
279 Troy Rd
City
Rensselaer
State
New York
Zip
12144-9518
Phone Number
518-286-1922
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
339091 (New York)
Definition
Definition to come...
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