Individual provider · Type 1 NPI

Azria Malloy

Student in an Organized Health Care Education/Training Program · New Britain, CT

NPI number 1053185462 Active

Practice location

1615 Stanley St
New Britain, CT 06050-2439

Call (860) 832-3200 Map

Mailing address

308 Munger Ln
Bethlehem, CT 06751-1100

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1053185462

Azria Malloy's National Provider Identifier is 1053185462, issued on Nov 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Britain, CT. The record was last updated on Nov 7, 2023.