Individual provider · Type 1 NPI

Patra Mariam Childress

Student in an Organized Health Care Education/Training Program · Danbury, CT

NPI number 1235692377 Active

Practice location

24 Hospital Ave
Danbury, CT 06810-6099

Call (203) 739-0000 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 1235692377

Patra Mariam Childress's National Provider Identifier is 1235692377, issued on Apr 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danbury, CT. The record was last updated on Jun 30, 2020.