Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA MARIE BLACK, APRN
Active Sole ProprietorTHERESA MARIE BLACK, APRN is a Gerontological Nurse Practitioner healthcare provider located in MELBOURNE, Florida. NPI 1164119269 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · MELBOURNE, FL
Registration Details
- NPI Number
- 1164119269
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2023 (3.3554914230938 yrs)
- Last Updated
- Apr 19, 2023
- License
-
APRN11025876 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 N BABCOCK ST STE 102MELBOURNE, FL, 329357335Browse FL providers · Browse ZIP 32935
- Phone
- 3212416540
- Fax
- 3214284442
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| SHARON GLISSON | ARNP | 1225092844 |
| MARION DAVENPORT | ARNP | 1053376723 |
| JOAN BURRITT | ARNP | 1033174750 |
| CHARLENE ANN DEMERS | ARNP | 1407867336 |
| KATHLEEN MARY BOVEE | NP | 1942314265 |
| MRS. MEGHAN JUDITH VIEGAS | APRN | 1932256047 |
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.