Individual provider · Type 1 NPI

Tyeshia Monique Ravenel

Student in an Organized Health Care Education/Training Program · Hyde Park, MA

NPI number 1215296439 Active

Practice location

695 Truman Hwy
Hyde Park, MA 02136-3552

Call (888) 763-7272 Map

Fax (877) 243-2959

Mailing address

50 Parker St
Newton Center, MA 02459-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
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 1215296439

Tyeshia Monique Ravenel's National Provider Identifier is 1215296439, issued on May 8, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hyde Park, MA. The record was last updated on Jul 2, 2024.