Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDA ANN BLACK, NURSE PRACTITIONER
ActiveAdult Health Nurse Practitioner · SOUTH BEND, IN
Registration Details
- NPI Number
- 1740296516
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2006 (19.733493340533 yrs)
- Last Updated
- Sep 8, 2016
- Licenses
-
209.005685 (IL)71001497 (IN)
Practice Information
- Address
-
112 W JEFFERSON BLVDSOUTH BEND, IN, 466011923Browse IN providers · Browse ZIP 46601
- Phone
- 5745461900
- Fax
- 5745461999
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| LAURA MYERS HIERONYMUS | C.A.N.P. | 1922290790 |
| GINA M. CONNOLLY | NP | 1023364262 |
| SEDRA JO KETCHAM | APRN | 1578803045 |
| TONI BROWN | NP | 1972913804 |
| MRS. SARAH ANN HOLEWCZYNSKI | RN, NP-C | 1619388717 |
| LUDMILA PICHUGENA-EMERSON | NP-C | 1447669304 |
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.