Individual provider · Type 1 NPI
Braden Hackler
Student in an Organized Health Care Education/Training Program · Bixby, OK
NPI number
1164177804
Active
Practice location
11301 S 106th East Ave
Bixby, OK 74008-2847
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 1164177804
Braden Hackler's National Provider Identifier is 1164177804, issued on Feb 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bixby, OK. The record was last updated on Feb 21, 2022.