Individual provider · Type 1 NPI

Annie Gaddis

Student in an Organized Health Care Education/Training Program · Longview, WA

NPI number 1053048272 Active

Practice location

1128 Broadway St
Longview, WA 98632-3831

Call (360) 261-6930 Map

Mailing address

1820 Susan Ave
Longview, WA 98632-3326

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 1053048272

Annie Gaddis's National Provider Identifier is 1053048272, issued on Aug 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longview, WA. The record was last updated on Jun 26, 2023.