GLADYS E BLACK

MARION, IN
NPI1205011715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IN  71002475A)
Additional Taxonomies208M00000X Hospitalist
(Licence: IN  71002475Z)
363L00000X Nurse Practitioner
(Licence: IN  71002475A)
Enumeration Date2008-01-02
Last Update Date2018-03-27
Business Address
Mrs. GLADYS E BLACK APRN
441 N WABASH AVE
MARION, IN 46952-2612
Phone number: 765-660-6411
Mailing Address
Mrs. GLADYS E BLACK APRN
330 NORTH WABASH SUITE G20
MARION, IN 46952-2600
Phone number: 765-660-7600