Individual provider · Type 1 NPI

Evan Straub

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1073254975 Active

Practice location

1364 Clifton Rd NE Ste H-100
Atlanta, GA 30322-1059

Call (404) 727-0093 Map

Fax (404) 712-0561

Mailing address

402 Pembroke Ave Apt 1
Norfolk, VA 23507-2244

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 1073254975

Evan Straub's National Provider Identifier is 1073254975, issued on Apr 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 5, 2022.