COLLEEN RAE BLACK

FRESNO, CA
NPI1801879879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CA  1129)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CA  6558)
Enumeration Date2005-11-23
Last Update Date2021-12-29
Business Address
Ms. COLLEEN RAE BLACK MSN RNP CNM RN NP
2823 FRESNO ST
FRESNO, CA 93721-1324
Phone number: 559-499-6540
Mailing Address
Ms. COLLEEN RAE BLACK MSN RNP CNM RN NP
2625 E DIVISADERO ST
FRESNO, CA 93721-1431
Phone number: 559-443-2682