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
| 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.
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.