Individual provider · Type 1 NPI

Octavia Bronaugh

Student in an Organized Health Care Education/Training Program · Westland, MI

NPI number 1184516320 Active

Practice location

8623 N Wayne Rd Ste 104
Westland, MI 48185-1137

Call (734) 425-0636 Map

Mailing address

1231 Northwood Dr
Inkster, MI 48141-1770

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 1184516320

Octavia Bronaugh's National Provider Identifier is 1184516320, issued on Jul 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Westland, MI. The record was last updated on Jul 21, 2025.