Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOLLY BLACK
ActiveMOLLY BLACK is a Certified Nurse Anesthetist (CRNA) healthcare provider located in FORT POLK, Louisiana. NPI 1114529674 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · FORT POLK, LA
Registration Details
- NPI Number
- 1114529674
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2020 (5.7455363165749 yrs)
- Last Updated
- Jul 8, 2025
- Licenses
-
10041796 (OR)971137 (TX)
Practice Information
- Address
-
1585 3RD STFORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 2108629692
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| MR. RAYMOND JAMES DEVLIN III | MSN, CRNA | 1235121971 |
| DOUGLAS TORTELLA | CRNA | 1164459459 |
| ANTHONY WENDELL MARCUKAITIS | CRNA | 1063514438 |
| MR. ROBERT CHARLES STRICKLAND | CRNA | 1780914432 |
| MR. JOHN WILLIAM ROY | CRNA | 1922339522 |
| MR. JERRY W GOSTNELL II | CRNA | 1700202900 |
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.