Individual provider · Type 1 NPI
Marissa Warren
Student in an Organized Health Care Education/Training Program · Demotte, IN
NPI number
1245620152
Active
Practice location
809 Dogwood St NW
Demotte, IN 46310-9549
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 1245620152
Marissa Warren's National Provider Identifier is 1245620152, issued on Jan 30, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Demotte, IN. The record was last updated on Jan 30, 2015.