Individual provider · Type 1 NPI

Colleen Shanna Lee Blake-Bramwell

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1023838836 Active

Practice location

3300 S University Dr
Fort Lauderdale, FL 33328-2004

Mailing address

7091 Environ Blvd Apt 247
Lauderhill, FL 33319-4211

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPSI46729 (FL)

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 1023838836

Colleen Shanna Lee Blake-Bramwell's National Provider Identifier is 1023838836, issued on Oct 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 15, 2024.