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Austinn Black

NPI 1346934486 · on the registry since 2023

Practice

Address
220 W Georgia Ave
Nampa, ID 83686
Phone
(425) 977-0088
Clinicians at this address
97

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho