Individual provider · Type 1 NPI
Erin Samantha Tudisco
Student in an Organized Health Care Education/Training Program · Yorkville, IL
NPI number
1114482965
Active
Practice location
1408 Sequoia Cir
Yorkville, IL 60560-9152
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.
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About NPI 1114482965
Erin Samantha Tudisco's National Provider Identifier is 1114482965, issued on Feb 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Yorkville, IL. The record was last updated on Feb 6, 2019.