Nurse Practitioner, Family
CATHERINE BLACK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366623191 · enumerated 2007-11-20 · record updated 2014-03-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 280 RIVER PARK DR, SUITE 200, PROVO, UT, 84604-5764 (801) 223-4860 Fax (801) 371-8993 Google Maps Apple Maps OpenStreetMap
- Mailing address 280 RIVER PARK DR, #200, PROVO, UT, 84604-5764 (801) 223-4860 Fax (801) 371-8993 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License 198805-4405 UT
In this directory
Locations and evidence
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Practice location
PROVO, UT, 846045764
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.