Active NPIIndividual provider

Mariah Black, RN, BSN, MSN, FNP-C

Nurse Practitioner, Family in Southborough, Massachusetts

NPI Number1902619273
Practice location
24 Newton St, Southborough, MA 01772-1215
Fax
—
Last updated
June 3, 2025

Mariah Black is a Nurse Practitioner, Family based in Southborough, MA. Mariah Black practices in Southborough, MA and has the professional credentials of RN, BSN, MSN, FNP-C. The NPI Number for Mariah Black is 1902619273 and holds a License No. RN2348576 (MA). The current practice location address for Mariah Black is 24 Newton St, Southborough, MA 01772-1215 and can be reached out via phone at 443-945-3295.

Provider Profile Details

NPI Number
1902619273
Provider Name
Mariah Black
Credential
RN, BSN, MSN, FNP-C
Provider Entity Type
Individual
Gender
Female
Address
24 Newton St, Southborough, MA 01772-1215
Phone Number
443-945-3295
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
January 29, 2025
Last Update Date
June 3, 2025
Certification Date
June 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Newton St
Southborough, MA 01772-1215
Zip
01772-1215
Phone Number
443-945-3295
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
5 Neponset St
Worcester, MA 01606-2714
City
Worcester
State
MA
Zip
01606-2714
Phone Number
508-460-3250
Fax Number
508-453-8152

License Information

License Number
RN2348576
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mariah Black, RN, BSN, MSN, FNP-C?

The NPI number of Mariah Black, RN, BSN, MSN, FNP-C is 1902619273. It was assigned on January 29, 2025 and is currently active in the NPPES registry.

What is the specialty of Mariah Black, RN, BSN, MSN, FNP-C?

Mariah Black, RN, BSN, MSN, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2348576.

Where does Mariah Black, RN, BSN, MSN, FNP-C practice?

The practice location is 24 Newton St, Southborough, MA 01772-1215. The office can be reached at 443-945-3295 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902619273 directly on the NPPES registry website.

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