Individual provider · Type 1 NPI

Nicholas Gresbach

Student in an Organized Health Care Education/Training Program · Lakeland, FL

NPI number 1134584386 Active

Practice location

111 Lake Hollingsworth Dr
Lakeland, FL 33801-5607

Call (352) 497-3473 Map

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 1134584386

Nicholas Gresbach's National Provider Identifier is 1134584386, issued on Dec 15, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakeland, FL. The record was last updated on Dec 15, 2015.