Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH ASHLEY BLACK, MD
ActiveELIZABETH ASHLEY BLACK, MD is a Pediatric Nephrology healthcare provider located in CLOVIS, California. NPI 1043697113 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nephrology · CLOVIS, CA
Registration Details
- NPI Number
- 1043697113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2015 (11.107563384688 yrs)
- Last Updated
- Aug 5, 2021
- Licenses
-
A151555 (CA)A151555 (CA)A151555 (CA)
Practice Information
- Address
-
726 N MEDICAL CENTER DR E STE 209CLOVIS, CA, 936116886Browse CA providers · Browse ZIP 93611
- Phone
- 5593255656
- Fax
- 5593255568
- Primary Specialty
-
Pediatric Nephrology
2080P0210X
- Additional Specialty
- Obesity Medicine (Pediatrics)
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Nephrology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.