Sousan Yazdi Black, ARNP

NPI #1144632217 in Fort Myers, Florida

Provider Information

NPI Number
1144632217
Entity Type
Individual
Name
Sousan Yazdi Black, ARNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Adult Health
Credential
ARNP
Enumeration Date
May 23, 2014
Last Updated
May 23, 2014

Practice Location

Address
8931 COLONIAL CENTER DR
Address 2
SUITE 300
State
Florida
ZIP Code
33905-7809
Phone
(239) 938-0800

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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