| Dr Gordon C Black, DNP, APRN, FNP-BC | |
|
5 Dunning St, Suite 1, Claremont, NH 03743 | |
| (603) 543-1251 | |
| (603) 542-3558 |
| Full Name | Dr Gordon C Black |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 5 Dunning St, Claremont, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215161526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 037311-23 (New Hampshire) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 101.0053103 (Vermont) | Secondary |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174566541 PECOS PAC ID: 3678481405 Enrollment ID: O20090511000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon C Black, DNP, APRN, FNP-BC 243 Elm Street, Claremont, NH 03743 Ph: (603) 543-6940 | Dr Gordon C Black, DNP, APRN, FNP-BC 5 Dunning St, Suite 1, Claremont, NH 03743 Ph: (603) 543-1251 |
Mrs. Victoria Lynn Johnson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Dunning St, Claremont, NH 03743 Phone: 603-542-6700 Fax: 603-542-6730 | |
Stephanie C Ryan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Elm St, Claremont, NH 03743 Phone: 603-542-7771 | |
Tanya L Carrington, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Elm St, Claremont, NH 03743 Phone: 603-542-1346 Fax: 603-542-1814 | |
Melanie Carol Kraus, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Elm St, Claremont, NH 03743 Phone: 603-542-7771 Fax: 860-486-5300 | |
Ms. Catharine A. Foster, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Pleasant St, Claremont, NH 03743 Phone: 603-542-4568 | |
Jenna Marie Poulin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Elm St, Claremont, NH 03743 Phone: 603-542-7771 |