Individual provider · Type 1 NPI
Colleen Michelle Gonzales Tamayo
Student in an Organized Health Care Education/Training Program · Halethorpe, MD
NPI number
1104773043
Active
Practice location
1125 Regina Dr
Halethorpe, MD 21227-2342
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.
Other student in an organized health care education/training program providers in Halethorpe
About NPI 1104773043
Colleen Michelle Gonzales Tamayo's National Provider Identifier is 1104773043, issued on Mar 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Halethorpe, MD. The record was last updated on Mar 11, 2026.