Individual provider · Type 1 NPI

Evan Brandenburg

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1063202216 Active

Practice location

30 E Apple St Ste 6258
Dayton, OH 45409-2932

Call (937) 208-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X57.258989 (OH)

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 1063202216

Evan Brandenburg's National Provider Identifier is 1063202216, issued on May 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on May 14, 2025.