NPI 1174135867 · live from the CMS NPI Registry
Sheri L Black, RN,BSN
Registered Nurse, General Practice in Phoenix, AZ. National Provider Identifier 1174135867, active.
NPI record
| NPI | 1174135867 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 3146 E Wier Ave, Phoenix, AZ 85040 |
| Practice phone | 602-845-0224 |
| Mailing address | 1812 E Erie St, Chandler, AZ 85225 |
| Enumerated | August 24, 2020 |
| Last updated | August 24, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 239835 (AZ) |
| Registered Nurse, Addiction (Substance Use Disorder) | 163WA0400X | 239835 (AZ) |
| Registered Nurse, Administrator | 163WA2000X | 239835 (AZ) |
| Registered Nurse, Case Management | 163WC0400X | 239835 (AZ) |
| Registered Nurse, Community Health | 163WC1500X | 239835 (AZ) |
| Registered Nurse, Medical-Surgical | 163WM0705X | 239835 (AZ) |
| Registered Nurse, Nutrition Support | 163WN1003X | 239835 (AZ) |
| Registered Nurse, Pain Management | 163WP0000X | 239835 (AZ) |
| Registered Nurse, Psych/Mental Health | 163WP0808X | 239835 (AZ) |
| Health Educator | 174H00000X | 239835 (AZ) |
| Registered Nurse, General Practice primary | 163WG0000X | 239835 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.