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

MS. Colleen Rae Black, MSNRNPCNMRNNP

Individual provider Nurse Practitioner · NPI 1801879879

MS. Colleen Rae Black, MSNRNPCNMRNNP is a Nurse Practitioner in Fresno, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 499-6540
Fax: (559) 499-6541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2823 Fresno St, Fresno, CA 93721-1324 — (559) 499-6540

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 1129 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 6558 (CA)

Record details

NPI number1801879879
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRNPCNMRNNP
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESDecember 29, 2021
Certification dateOctober 8, 2020

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