Individual provider · Type 1 NPI
Erika Elizabeth Pottebaum
Student in an Organized Health Care Education/Training Program · Hull, IA
NPI number
1205609559
Active
Practice location
1415 Cedar St
Hull, IA 51239-7448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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.
About NPI 1205609559
Erika Elizabeth Pottebaum's National Provider Identifier is 1205609559, issued on Oct 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hull, IA. The record was last updated on Oct 30, 2023.