Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWENDOLYN BLACK, LPN
Active Sole ProprietorGWENDOLYN BLACK, LPN is a Licensed Practical Nurse healthcare provider located in MILL CREEK, Washington. NPI 1194593970 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MILL CREEK, WA
Registration Details
- NPI Number
- 1194593970
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2023 (2.6571568943198 yrs)
- Last Updated
- Dec 12, 2023
- License
-
LP00045623 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14711 38TH DR SEMILL CREEK, WA, 980124282Browse WA providers · Browse ZIP 98012
- Phone
- 3602201360
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in MILL CREEK, WA
| Name | Credential | NPI |
|---|---|---|
| MS. KYUNGAH YOON | — | 1366099798 |
| AMANDA ROBIESON | — | 1992524581 |
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.