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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS BLACK, NP

Active

Family Nurse Practitioner · EDGEWOOD, NM

Registration Details

NPI Number
1619346376
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2015 (10.575383404743 yrs)
Last Updated
Jul 26, 2021
License
02922 (NM)

Practice Information

Address
104 QUAIL TRAIL
UNIT B
EDGEWOOD, NM, 87015
Browse NM providers · Browse ZIP 87015
Phone
5052080208
Fax
5057172884
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in EDGEWOOD, NM

Name Credential NPI
VIVIENNE PRINZ CNP 1194154823
MARGARET BARBOUR VON HENDRICKS 1851849806
DOUGLAS IVAN LUDINGTON NP 1982113445
THU THANH NGUYEN FNP 1205459369
CIERRA DORADO 1386251957
MRS. KALEIGH ROBERTS FNP 1962007385
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.