| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CURTIS BLACK | 1508523804 | 2021-11-21 |
Curtis Black is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508523804. Registration indicates Curtis Black is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: General Practice, ) (All Other Specialties & Provider Types, ) (Registered Nurse General Practice, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Curtis Black |
| Practice Office Address | 235 WELLESLEY ST WESTON, MA US |
| Practice Office Telephone | 7817687000 |
| Mailing Address | 235 WELLESLEY ST WESTON, MA 024931572 US |
| Code | Practice | License No State |
|---|---|---|
| 163WG0000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: General Practice All Other Specialties & Provider Types Registered Nurse General Practice Nursing Service Providers Registered Nurse | 95195093
CA |
| 193400000X SING | Group Code |