National Provider Identifier Database

MAUREEN BLACK, RN – NPI #1528431335
Women


Contact Information

MAUREEN BLACK, RN
5121 S COTTONWOOD ST
IM WOMEN AND CHILDREN ADMINISTRATION 15400-15541
MURRAY, UT84107-5701
Phone: 801-507-7673
Fax:
Website:
Specialty Taxonomy Code
* Women 282NW0100X

* Indicates primary specialty

NPI Profile & details for MAUREEN BLACK

NPI Number 1528431335
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/03/2015
Last updated 11/03/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • UT License #: 290597-3102
  • UT Medicaid: 942854057
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MAUREEN BLACK, RN

There are currently no reviews for MAUREEN BLACK, RN


NPIdb - Home
v2.201