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

Thomas Black, NP

Individual provider Family Nurse Practitioner · NPI 1619346376

Thomas Black, NP is a Family Nurse Practitioner in Edgewood, New Mexico. Licensed in New Mexico. Registered with an NPI since 2015.

Licensed in
NM
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

104 Quail Trl Unit B
Edgewood, NM 87015
Phone: (505) 208-0208
Fax: (505) 717-2884
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 02922 (NM)

Record details

NPI number1619346376
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 23, 2015
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address104 Quail Trail, Unit B, Edgewood, NM 87015

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