Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Nichole Black

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952187130

Alyssa Nichole Black is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1952187130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address750 N Freedom Blvd Ste 300, Provo, UT 84601-1690

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