NPI 1750999470 · live from the CMS NPI Registry
Melanie Anne Black, AGNP-C
Nurse Practitioner, Primary Care in Bend, OR. National Provider Identifier 1750999470, active.
NPI record
| NPI | 1750999470 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 2165 Nw Shevlin Park Rd, Bend, OR 97703 |
| Practice phone | 541-389-7741 |
| Mailing address | Po Box 1517, Pendleton, OR 97801 |
| Enumerated | July 20, 2020 |
| Last updated | May 6, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care primary | 363LP2300X | 101.0134595 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.