Most Relevant Information
Provider Data
| NPI Number: | 1003598525 |
| Provider Name: | EMILY BLACK ARNP PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 152689 |
Most Important Dates
| Enumeration Date: | 08/03/2023 |
| Last Updated: | 08/03/2023 |
Provider Practice Location
600 5TH ST
AMES
IA
500106085
Practice Location Phone/Fax
| Phone: | 5152331122 |
| Fax: |
Provider Mailing Location
555 SW 7TH ST UNIT 8
DES MOINES
IA
503094532
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |