Black, Maria Elena

Black, Maria Elena is an sole proprietor health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Black, Maria Elena can be contacted via phone (801) 357-7413.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Phone: (801) 357-7413
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 198112-4405 Utah

Profile Details

NPI number 1932355740
LBN Legal business name Black, Maria Elena
Credentials APRN, MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2008
Last updated Aug 12th, 2008 - about 17 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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