Black, Laura Diane

Black, Laura Diane is an individual health care provider with primary practice located at Humboldt State University , Arcata CA 95521-8299. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Black, Laura Diane can be contacted via phone (707) 826-3146.

Contact Information

Primary practice address
Humboldt State University Arcata CA 95521-8299
Phone: (707) 826-3146
Fax: (707) 826-5052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7155 California

Profile Details

NPI number 1851451579
LBN Legal business name Black, Laura Diane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 28th, 2016 - about 8 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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