Individual provider · Type 1 NPI

Vianney Mancilla

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1093698367 Active

Practice location

475 N 5th St
Phoenix, AZ 85004-2157

Call (602) 827-2002 Map

Mailing address

3117 W Lynne Ln
Phoenix, AZ 85041-5228

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 1093698367

Vianney Mancilla's National Provider Identifier is 1093698367, issued on Jul 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 25, 2025.