person
Thomas Black, NP
Family Nurse Practitioner in Edgewood, New Mexico
NPI 1619346376

Thomas Black is a Family Nurse Practitioner based in Edgewood, NM and is specialized in Family. Thomas Black practices in Edgewood, NM and has the professional credentials of NP. The NPI Number for Thomas Black is 1619346376 and holds a License No. 02922 (New Mexico).

The current practice location address for Thomas Black is 104 Quail Trail, Edgewood, NM and can be reached out via phone at 505-208-0208 and via fax at 505-717-2884.

Location: 104 Quail Trail, Edgewood, NM, 87015
person
Provider Profile Details
NPI Number
1619346376
Provider Name
Thomas Black
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
104 Quail Trail, Edgewood, NM, 87015
Phone Number
505-208-0208
Fax Number
505-717-2884
Provider Enumeration Date
09/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Quail Trail
City
State
Zip
87015
Phone Number
505-208-0208
Fax Number
505-717-2884
person
Provider Business Mailing Address Details
Address
104 Quail Trail
City
State
Zip
87015
Phone Number
505-208-0208
Fax Number
505-717-2884
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
02922 (New Mexico)
Definition
Definition to come...
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