NICHOLAS PAUL BLACK

YUKON, OK
NPI1780822163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  94051)
Enumeration Date2009-01-23
Last Update Date2021-12-06
Business Address
Mr. NICHOLAS PAUL BLACK CRNA
1201 HEALTH CENTER PKWY
YUKON, OK 73099-6381
Phone number: 405-717-6800
Mailing Address
Mr. NICHOLAS PAUL BLACK CRNA
PO BOX 26901
OKLAHOMA CITY, OK 73126-0901
Phone number: 405-271-4351