ILANA BLACK
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1982282653- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 18 SLATE HILL RD, CRANSTON, RI, 029203094
- Phone
- (401) 575-0703
Specialties & Taxonomies
Nurse Practitioner
License: RI #APRN02467
Nurse Practitioner, Family
Primary License: RI #APRN02467
All Addresses
MAILING
593 EDDY ST
PROVIDENCE, RI, 029034923