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Tanya J Black, APRN,BC
Family Nurse Practitioner in St Cloud, Minnesota
NPI 1770680894

Tanya J Black is a Family Nurse Practitioner based in St Cloud, MN and is specialized in Family. Tanya J Black practices in St Cloud, MN and has the professional credentials of APRN,BC. The NPI Number for Tanya J Black is 1770680894 and holds a License No. 2006005172 (Minnesota).

The current practice location address for Tanya J Black is 4801 Veterans Dr, St Cloud, MN and can be reached out via phone at 320-252-1670.

Location: 4801 Veterans Dr, St Cloud, MN, 56303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770680894
Provider Name
Tanya J Black
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
4801 Veterans Dr, St Cloud, MN, 56303
Phone Number
320-252-1670
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71612000 05 MN
institution
Provider Business Practice Location Address Details
Address
4801 Veterans Dr
City
St Cloud
State
Minnesota
Zip
56303
Phone Number
320-252-1670
Fax Number
person
Provider Business Mailing Address Details
Address
4801 Veterans Dr
City
St Cloud
State
Minnesota
Zip
56303
Phone Number
320-252-1670
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2006005172 (Minnesota)
Definition
Definition to come...
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