GWENDOLYN BLACK LPN
NPI 1194593970
Licensed Practical Nurse in Mill Creek, WA

Active since December 12, 2023
14711 38TH DR SE, MILL CREEK, WA 98012(360) 220-1360 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gwendolyn Black Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN BLACK LPN (NPI 1194593970) is an individual licensed practical nurse in Mill Creek, Washington, licensed in Washington (LP00045623) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1194593970
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGWENDOLYN BLACKCredential: LPN
Location Address14711 38TH DR SEMill Creek, WA 98012-4282
Mailing Address14711 38th Dr SeMill Creek, WA 98012-4282 · (360) 220-1360
Sole ProprietorYes
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
NPI 1194593970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WA · LP00045623
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

14711 38TH DR SE, Mill Creek, WA 98012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Black's NPI number?

The NPI number for Gwendolyn Black is 1194593970. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Gwendolyn Black located?

Gwendolyn Black practices at 14711 38th Dr SE, Mill Creek, WA 98012. The listed phone number is (360) 220-1360.

What is Gwendolyn Black's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Black was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.