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DOLLIE L BLACK
NPI 1427671684
Licensed Practical Nurse in Boise, ID

Active since May 22, 2020
500 W FORT ST, BOISE, ID 83702(208) 422-1000(208) 422-1373 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dollie L Black NPPES

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

DOLLIE L BLACK (NPI 1427671684) is an individual licensed practical nurse in Boise, Idaho, licensed in Idaho (PN-9253) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1427671684
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDOLLIE L BLACK
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address500 W Fort StBoise, ID 83702-4501 · (208) 422-1000 · Fax (208) 422-1373
Phone(208) 422-1000
Fax(208) 422-1373
Sole ProprietorNo
Enumeration DateMay 22, 2020
NPPES CertifiedMay 22, 2020
✔ NPI 1427671684 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 ID · PN-9253
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.
500 W FORT ST, Boise, ID 83702
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Other Names 1

Former Name (1)Dollie L Pancheri Lpn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 Dollie Black's NPI number?

The NPI number for Dollie Black is 1427671684. It was assigned to this individual provider in the NPPES registry on May 22, 2020. The provider is also known as Dollie L Pancheri Lpn.

Where is Dollie Black located?

Dollie Black practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Dollie 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 Dollie Black was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.