Individual provider · Type 1 NPI

Demmi Berry

Student in an Organized Health Care Education/Training Program · Canon City, CO

NPI number 1114883642 Active

Practice location

1811 Fremont Dr Ste E
Canon City, CO 81212-2404

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.

4 other providers at this address

About NPI 1114883642

Demmi Berry's National Provider Identifier is 1114883642, issued on Dec 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canon City, CO. The record was last updated on Dec 29, 2025.