IndividualActive
Andrea Black, PA-C
NPI 1487922738 · Physician Assistant · Moline, IL
Provider details
- NPI number
- 1487922738
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 002253 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
520 Valley View Dr
Moline, IL 61265-6194
Phone: (309) 762-3621
Fax: (309) 762-3690
Approximate (ZIP-level) locationGet directions
Mailing address
520 Valley View Dr
Moline, IL 61265-6194
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2019-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.