Individual provider · Type 1 NPI
Samantha Street
Student in an Organized Health Care Education/Training Program · Superior, WI
NPI number
1083323018
Active
Practice location
1224 Hughitt Ave
Superior, WI 54880-1632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1083323018
Samantha Street's National Provider Identifier is 1083323018, issued on Nov 17, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Superior, WI. The record was last updated on Nov 17, 2022.