Individual provider · Type 1 NPI
Ezra Axinto-Fletcher
Student in an Organized Health Care Education/Training Program · West Reading, PA
NPI number
1093640153
Active
Practice location
420 S 5th Ave
West Reading, PA 19611-2143
Mailing address
PO Box 13579
Reading, PA 19612-3579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | OT025706 (PA) |
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 1093640153
Ezra Axinto-Fletcher's National Provider Identifier is 1093640153, issued on Jun 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Reading, PA. The record was last updated on Jun 17, 2026.