Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURIE JO BLACK, RN CNP
ActiveLAURIE JO BLACK, RN CNP is a Pediatric Nurse Practitioner healthcare provider located in SAINT CLOUD, Minnesota. NPI 1679551329 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1679551329
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2006 (20.567428210502 yrs)
- Last Updated
- Nov 20, 2014
- Licenses
-
ARNP2638602 (FL)R217274-5 (MN)
Practice Information
- Address
-
1200 6TH AVE NCENTRA CARE CLINICSAINT CLOUD, MN, 563032735Browse MN providers · Browse ZIP 56303
- Phone
- 3202512700
- Fax
- 7275877739
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA JEAN BETZLER | RN, CPNP | 1992742357 |
| PAM J. WAAGE | CPNP | 1487857249 |
| RACHEL LEE GARNESS | RN, CNP | 1699929323 |
| ELIZABETH BACKHAUS | APRN, RN | 1497283196 |
| MRS. JAIMIE LINN RUIZ | — | 1548843311 |
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.