Catherine R. Black

Family Nurse Practitioner · Provo, UT

Individual Active NPI

NPI number 1366623191

Practice location

280 River Park Dr
Suite 200
Provo, UT 84604-5764
Phone
(801) 223-4860
Fax
(801) 371-8993

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NPI record

NPI
1366623191
Entity type
Individual (Type 1)
Enumeration date
November 20, 2007
Last updated
March 21, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Nurse Practitioner Primary 363LF0000X 198805-4405 UT

Mailing address

280 River Park Dr
#200
Provo, UT 84604-5764
Phone
(801) 223-4860
Fax
(801) 371-8993

About Catherine Black

Catherine R. Black is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 280 River Park Dr, Suite 200, Provo, UT 84604-5764. The NPI number 1366623191 was assigned on November 20, 2007 and the record was last updated on March 21, 2014.

Catherine Black lists a license in the registry: #198805-4405 (UT) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Catherine R. Black?

The NPI number is 1366623191.

What is the phone number of Catherine Black?

The phone number listed for the practice location is (801) 223-4860.

Where is Catherine Black located?

280 River Park Dr, Suite 200, Provo, UT 84604-5764.

What is the taxonomy code for Catherine Black?

The primary taxonomy code is 363LF0000X – Family Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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