MEDICARE: NORMA BLACK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1881303410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA BLACK

Provider Business Mailing Address
First Line	:	4817 NW 65TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-6830
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4817 NW 65TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-6830
Country	:	US
Telephone Number	:	405-201-8418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2022
Last Update Date	:	11/22/2022

Similar Medicare Providers

1154672509 — BARUNDI NACHELLE LOLLES
Practice Location Address:

3019 N BARTELL RD
OKLAHOMA CITY, OK
73121-6830

Practice Phone: 405-505-8798
Practice Fax:

1831657352 — ASPEN HOME HEALTH LLC
Practice Location Address:

970 CYPRESS VILLAGE BLVD STE 126
SUN CITY CENTER, FL
33573-6830

Practice Phone: 813-296-7339
Practice Fax:

1649825241 — KIRA LYNNE DAVENPORT LCSW
Practice Location Address:

163 STRAWTOWN RD
NEW CITY, NY
10956-6830

Practice Phone: 845-638-8066
Practice Fax:

1366049983 — CYPRESS CARE PHARMACY
Practice Location Address:

970 CYPRESS VILLAGE BLVD
SUN CITY CENTER, FL
33573-6830

Practice Phone: 863-529-5546
Practice Fax: 813-642-0698

1154267094 — STEPHANIE MARIE BRUMLEY II
Practice Location Address:

7829 LYREWOOD LN APT 215
OKLAHOMA CITY, OK
73132-5543

Practice Phone: 918-565-4136
Practice Fax:

1447976824 — VICTORIA DIAZ WELLNESS NP
Practice Location Address:

5909 NW EXPRESSWAY
OKLAHOMA CITY, OK
73132-5161

Practice Phone: 405-662-0035
Practice Fax:

Directions to “ NORMA BLACK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.