Michael R Black
Michael R Black is a Nurse Practitioner in Seattle, Washington. Graduated from Rush Medical College of Rush University in 2025, 1 year ago. Licensed in Washington.
- Years since qualifying
- 1
- Trained at
- Rush Medical College of Rush University
- Licensed in
- WA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
901 Rainier Ave SSeattle, WA 98144-2839
Phone: (206) 470-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence AP70094717 (WA) |
|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0809X · Licence RN60417384 (WA) |
Record details
| NPI number | 1750858072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 24, 2018 |
| Last updated in NPPES | April 23, 2026 |
| Certification date | April 23, 2026 |
| Mailing address | 901 Rainier Ave S, Seattle, WA 98144-2839 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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