IndividualActive
Dallas Black, ARNP
NPI 1760156665 · Acute Care Nurse Practitioner · Ottumwa, IA
Provider details
- NPI number
- 1760156665
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- License
- H165013 (IA)
Mailing address
Po Box 1179
Ottumwa, IA 52501-7179
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2022-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.