Individual provider · Type 1 NPI

Hailey Duzenack

Student in an Organized Health Care Education/Training Program · Pueblo, CO

NPI number 1245050483 Active

Practice location

2200 Bonforte Blvd
Pueblo, CO 81001-4901

Mailing address

3109 De Cortez St
Colorado Springs, CO 80909-5016

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 1245050483

Hailey Duzenack's National Provider Identifier is 1245050483, issued on Oct 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pueblo, CO. The record was last updated on Oct 14, 2024.