MICHELLE M. BLACK

STATE COLLEGE, PA
NPI1083902316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP011489)
Enumeration Date2011-07-20
Last Update Date2018-08-07
Business Address
MICHELLE M. BLACK CRNP
120 RADNOR RD STE 100
STATE COLLEGE, PA 16801
Phone number: 814-231-7868
Mailing Address
MICHELLE M. BLACK CRNP
120 RADNOR RD STE 100
STATE COLLEGE, PA 16801-7970
Phone number: 814-231-7868
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