Gwendolyn Black, LPN is a
Licensed Practical Nurse based in Mill Creek, Washington. Gwendolyn Black is licensed to practice in Washington (license number LP00045623) and her current practice location is
14711 38th Dr Se, Mill Creek, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 220-1360.
NPI number for Gwendolyn Black is 1194593970 and her current mailing address is 14711 38th Dr Se, Mill Creek, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194593970.
Provider's Profile
Full Name | Gwendolyn Black |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 14711 38th Dr Se, Mill Creek, Washington |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194593970
- Provider Enumeration Date: 12/12/2023
- Last Update Date: 12/12/2023
Medical Identifiers
Medical identifiers for Gwendolyn Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194593970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP00045623 (Washington) | 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. Gwendolyn 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 Address | Practice Location Address |
Gwendolyn Black, LPN 14711 38th Dr Se, Mill Creek, WA 98012-4282 Ph: (360) 220-1360 | Gwendolyn Black, LPN 14711 38th Dr Se, Mill Creek, WA 98012-4282 Ph: (360) 220-1360 |
Reviews and Comments