IndividualActive
Anastasia Black
NPI 1538520507 · Other Technician · Bountiful, UT
Provider details
- NPI number
- 1538520507
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
527 E 1200 N
Bountiful, UT 84010-3424
Registry dates
- Enumerated
- 2016-03-17
- Last updated
- 2016-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.