NPI 1922545888 · live from the CMS NPI Registry
Collin Warner Black, PA-C
Physician Assistant in Nashua, NH. National Provider Identifier 1922545888, active.
NPI record
| NPI | 1922545888 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2300 Southwood Dr, Nashua, NH 03063 |
| Practice phone | 603-577-4000 |
| Mailing address | Po Box 751461, Charlotte, NC 28275 |
| Enumerated | January 30, 2017 |
| Last updated | January 12, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 3217 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.