Individual provider · Type 1 NPI
Nicole Pufahl
Student in an Organized Health Care Education/Training Program · Moorpark, CA
NPI number
1083179501
Active
Practice location
6925 Hogan St
Moorpark, CA 93021-8736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1083179501
Nicole Pufahl's National Provider Identifier is 1083179501, issued on Feb 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moorpark, CA. The record was last updated on Feb 8, 2019.