Nancy A Black, LPN - Licensed Practical Nurse in Gallup, NM

Nancy A Black, LPN is a Licensed Practical Nurse based in Gallup, New Mexico. Nancy A Black is licensed to practice in New Mexico (license number L13493) and her current practice location is 516 Nizhoni Blvd, Gallup, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 722-1000.

NPI number for Nancy A Black is 1508040270 and her current mailing address is Po Box 1337, Gallup, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508040270.

Contact Information

Nancy A Black, LPN
516 Nizhoni Blvd,
Gallup, NM 87301-5748
(505) 722-1000
(505) 722-1310



Provider's Profile

Full NameNancy A Black
GenderFemale
SpecialityLicensed Practical Nurse
Location516 Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508040270
  • Provider Enumeration Date: 12/18/2007
  • Last Update Date: 12/18/2007

Medical Identifiers

Medical identifiers for Nancy A Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508040270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L13493 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nancy A Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nancy A Black, LPN
Po Box 1337,
Gallup, NM 87305-1337

Ph: (505) 722-1000
Nancy A Black, LPN
516 Nizhoni Blvd,
Gallup, NM 87301-5748

Ph: (505) 722-1000

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Gallup, NM

Fern Gonzales, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1310
Dorothy L Enote, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1310

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