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TANYA J BLACK APRN, BC
NPI 1770680894
Nurse Practitioner - Family in St Cloud, MN

Active since September 20, 2006
4801 VETERANS DR, ST CLOUD VAHCS, ST CLOUD, MN 56303(320) 252-1670 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tanya J Black Aprn, Bc NPPES

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

TANYA J BLACK APRN, BC (NPI 1770680894) is an individual family provider in St Cloud, Minnesota, licensed in Minnesota (2006005172) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1770680894
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANYA J BLACKCredential: APRN, BC
Location Address4801 VETERANS DR, ST CLOUD VAHCSSt Cloud, MN 56303
Mailing Address4801 Veterans Dr, St Cloud VahcsSt Cloud, MN 56303 · (320) 252-1670
Phone(320) 252-1670
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 26, 2016
✔ NPI 1770680894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 2006005172
4801 VETERANS DR, St Cloud, MN 56303
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Other Identifiers 3

Medicaid71612000MN
Medicare PIN500003577MN
Medicare UPINQ72789MN

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.

PATRICIA ANN MEYER LICSW
Social Worker (Clinical)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
MRS. ANDREA DIXON PHARMD
Pharmacist
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
NICOLE WILLIS
Occupational Therapy Assistant
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
ERIN MAE BRUNTLETT
Specialist/Technologist (Rehabilitation, Blind)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
HEIDE COUNTER
Licensed Practical Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 255-6393
MORIAH ROSE LELOU
Licensed Practical Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
SARA BUKOWSKI
Health and Wellness Coach
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670
CARRIE ANNE MACIEJ RN
Registered Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Stearns County (320) 252-1670

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 Tanya Black's NPI number?

The NPI number for Tanya Black is 1770680894. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Tanya Black located?

Tanya Black practices at 4801 Veterans Dr St Cloud Vahcs, St Cloud, MN 56303. The listed phone number is (320) 252-1670.

What is Tanya Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tanya Black was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.