Individual provider · Type 1 NPI

Brett Alexander Talley, PA-S

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

NPI number 1104438662 Active

Practice location

1819 Carew St
Fort Wayne, IN 46805-4705

Call (260) 702-8055 Map

Mailing address

1635 Bayview Dr
Fort Wayne, IN 46815-4203

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 1104438662

Brett Alexander Talley, PA-S's National Provider Identifier is 1104438662, issued on Aug 17, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 27, 2023.