Warren Benjamin Black Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Bangor, ME

NPI

1932502002

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

CNP141098 (ME)

Sex

Male

Sole proprietor

No

Enumerated

2014-10-03

Last updated

2014-10-03