National Provider Identifier
Heather Leeanne Black, RN
Heather Leeanne Black, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Penfield, NY and a listed phone number of (585) 259-6840.
Profile Overview
- NPI
- 1346495793
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- November 27, 2008
- Last Updated
- September 13, 2019
Practice Location
- 15 Lazy Trl
- Penfield, NY 14526-1703
Phone: (585) 259-6840
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1346495793
- Entity Type
- Individual
- Last Name
- Black
- First Name
- Heather
- Middle Name
- Leeanne
- Name Prefix
- Mrs.
- Credential
- RN
- Mailing Street Address
- 15 Lazy Trl
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1703
- Mailing Country
- US
- Mailing Phone
- (585) 598-3003
- Practice Street Address
- 15 Lazy Trl
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1703
- Practice Country
- US
- Practice Phone
- (585) 259-6840
- Enumeration Date
- November 27, 2008
- Last Updated
- September 13, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)