Individual provider · Type 1 NPI

Brandon Deontae Shirlee

Student in an Organized Health Care Education/Training Program · Conway, AR

NPI number 1003643396 Active

Practice location

835 S Donaghey Ave Apt 1221
Conway, AR 72034-7052

Call (501) 607-4148 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003643396

Brandon Deontae Shirlee's National Provider Identifier is 1003643396, issued on Sep 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conway, AR. The record was last updated on Sep 19, 2024.