Robert Clint Black, RN

Registered Nurse · Omro, WI

Individual Active NPI

NPI number 1538434097

Practice location

1169 Broderick Rd
Omro, WI 54963-1091
Phone
(240) 603-3648

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NPI record

NPI
1538434097
Entity type
Individual (Type 1)
Enumeration date
March 16, 2012
Last updated
March 16, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 162432-30 WI

About Robert Black

Robert Clint Black, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 1169 Broderick Rd, Omro, WI 54963-1091. The NPI number 1538434097 was assigned on March 16, 2012 and the record was last updated on March 16, 2012.

Robert Black lists a license in the registry: #162432-30 (WI) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Clint Black, RN?

The NPI number is 1538434097.

What is the phone number of Robert Black?

The phone number listed for the practice location is (240) 603-3648.

Where is Robert Black located?

1169 Broderick Rd, Omro, WI 54963-1091.

What is the taxonomy code for Robert Black?

The primary taxonomy code is 163W00000X – Registered Nurse.

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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