Individual provider · Type 1 NPI

Olivia Rose Born

Student in an Organized Health Care Education/Training Program · Pompton Lakes, NJ

NPI number 1053781393 Active

Practice location

16 Pompton Ave
Pompton Lakes, NJ 07442-1895

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 1053781393

Olivia Rose Born's National Provider Identifier is 1053781393, issued on Sep 29, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pompton Lakes, NJ. The record was last updated on Sep 29, 2015.