NPI 1124313887 · live from the CMS NPI Registry
Deborah M Black, NP
Nurse Practitioner, Family in Newark, DE. National Provider Identifier 1124313887, active.
NPI record
| NPI | 1124313887 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4755 Ogletown Stanton Rd, Christiana Hospital, Suite 1e1070, Newark, DE 19718 |
| Practice phone | 302-733-1487 |
| Mailing address | 4755 Ogletown Stanton Rd, Christiana Hospital, Suite 1e10, Newark, DE 19718 |
| Enumerated | June 10, 2011 |
| Last updated | November 8, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | LG-0000556 (DE) |
| Nurse Practitioner, Family primary | 363LF0000X | LG-0000556 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.