Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTANEE BLACK
Active Sole ProprietorDESTANEE BLACK is a Foot & Ankle Surgery healthcare provider located in FORT TOTTEN, North Dakota. NPI 1861089443 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · FORT TOTTEN, ND
Registration Details
- NPI Number
- 1861089443
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2020 (5.4439152537638 yrs)
- Last Updated
- Dec 29, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
63 HOUSING CIRCLE DRFORT TOTTEN, ND, 583353525Browse ND providers · Browse ZIP 58335
- Phone
- 7017664382
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in FORT TOTTEN, ND
| Name | Credential | NPI |
|---|---|---|
| MS. BARBARA ROBERTSON | — | 1336749183 |
| MELISSA A LITTLE | — | 1073115812 |
| ALIZA LONGIE | — | 1740884287 |
| TERRENCE L HERMAN JR. | — | 1356937387 |
| EMMARAE JEAN DUNN | — | 1871186031 |
| MS. KAREN KAY JACKSON | — | 1023682929 |
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.