Individual provider · Type 1 NPI

Antaijah Simon

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1164337572 Active

Practice location

2100 E Kenwood Blvd
Milwaukee, WI 53211-3358

Call (414) 229-2222 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 1164337572

Antaijah Simon's National Provider Identifier is 1164337572, issued on Aug 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 18, 2026.