THERESA ANN BLACK

BUCKHANNON, WV
NPI1790982080
Other NameTHERESA ANN BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  49062)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WV  49062)
Enumeration Date2007-06-29
Last Update Date2023-11-29
Business Address
Ms. THERESA ANN BLACK FNP-BC
11 N LOCUST ST
BUCKHANNON, WV 26201-4707
Phone number: 304-472-1600
Mailing Address
Ms. THERESA ANN BLACK FNP-BC
812 GORMAN AVENUE
ELKINS, WV 26241
Phone number: 304-637-3456