Black, Ellie Catharine
Black, Ellie Catharine is an individual health care provider with primary practice located at 5265 Vista Blvd Bldg B , Sparks NV 89436-0836. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Black, Ellie Catharine can be contacted via phone (775) 352-5335.Contact Information
Primary practice address
5265 Vista Blvd Bldg B
Sparks NV 89436-0836
Phone: (775) 352-5335
Fax: (775) 352-5334
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95014901 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 832783 | Nevada |
Profile Details
NPI number | 1962009324 |
---|---|
LBN Legal business name | Black, Ellie Catharine |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 7th, 2020 |
Last updated | Apr 16th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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