Mrs. LAURIE ANN BLACK RN, FNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1376109736- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN, FNP-C
- Status
- Active
Contact & Location
- Address
- 2138 25TH ST STE F, COLUMBUS, IN, 472013241
- Phone
- (812) 376-3100
- Fax
- (812) 378-6191
Specialties & Taxonomies
Nurse Practitioner, Family
License: IN #28200199A
Nurse Practitioner, Family
Primary License: IN #71009191A