Individual provider · Type 1 NPI

Blake Vicent Ireland

Student in an Organized Health Care Education/Training Program · Northfield, VT

NPI number 1154844504 Active

Practice location

158 Harmon Dr
Northfield, VT 05663-1000

Call (203) 565-1815 Map

Mailing address

93 Dixie Ave
Waterbury, CT 06706-1604

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 1154844504

Blake Vicent Ireland's National Provider Identifier is 1154844504, issued on Jul 18, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northfield, VT. The record was last updated on Jul 18, 2017.