NPI 1831710458 · live from the CMS NPI Registry
Christine Maire Black, MSN
Nurse Practitioner, Pediatrics in Georgetown, DE. National Provider Identifier 1831710458, active.
NPI record
| NPI | 1831710458 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 21141 Sterling Ave Unit 1, Georgetown, DE 19947 |
| Practice phone | 302-856-6967 |
| Mailing address | 5 Osprey Ln, Middletown, DE 19709 |
| Enumerated | May 5, 2020 |
| Last updated | May 5, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | LJ-0000379 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.