| Alexandra Black, NURSE PRACTITIONER | |
|
13304 Leesville Church Rd, Raleigh, NC 27617-5206 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Alexandra Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 13304 Leesville Church Rd, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871104513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5013433 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of North Carolina Pc | 6002837572 | 173 |
| Entity Name | Minuteclinic Diagnostic Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Black, NURSE PRACTITIONER 13304 Leesville Church Rd, Raleigh, NC 27617-5206 Ph: () - | Alexandra Black, NURSE PRACTITIONER 13304 Leesville Church Rd, Raleigh, NC 27617-5206 Ph: (866) 389-2727 |
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