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Contact Information

COLLEEN R BLACK, MSN RNP CNM RN NP
2823 FRESNO ST
FRESNO, CA93721-1324
 Phone: 559-499-6540
 Fax: 559-499-6541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COLLEEN R BLACK · (Female)

NPI Number 1801879879
Status Active
Credentials MSN RNP CNM RN NP
Entity Individual
Enumeration date 11/23/2005
Last updated 12/29/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 1129
  • CA License # 6558
  • CA Other 1129 NURSE MIDWIFE
  • CA Other 6558 NURSE PRACTITIONER
  • CA Other 449993 REGISTERED NURSE
Hospital affiliation(s) Not Available
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.

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