Individual provider · Type 1 NPI

Josh Willard

Student in an Organized Health Care Education/Training Program · Anderson, IN

NPI number 1104362011 Active

Practice location

1100 E 5th St
Anderson, IN 46012-3462

Call (317) 690-4824 Map

Mailing address

10356 Parkshore Dr
Fishers, IN 46038-5511

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1104362011

Josh Willard's National Provider Identifier is 1104362011, issued on Jan 17, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Anderson, IN. The record was last updated on Jan 17, 2017.