MEDICARE: ERIN LOUISE BLACK CNP

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.0032951	OH

General Provider Information

NPI Number	:	1598549891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LOUISE BLACK CNP

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-585-6200
Fax Number	:	513-245-3672

Provider Business Practice Location Address
First Line	:	222 PIEDMONT AVE STE 6300
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-4223
Country	:	US
Telephone Number	:	513-475-7400
Fax Number	:

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

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	09/12/2023

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