Individual provider · Type 1 NPI

Adam Wylie

Student in an Organized Health Care Education/Training Program · Wilkes Barre, PA

NPI number 1225557382 Active

Practice location

133 N Main St
Wilkes Barre, PA 18702

Call (904) 738-9469 Map

Mailing address

208 13th St
Belmont, NC 28012

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone 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 1225557382

Adam Wylie's National Provider Identifier is 1225557382, issued on Sep 10, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 10, 2017.