Individual provider · Type 1 NPI

Weston Vern Frandsen

Student in an Organized Health Care Education/Training Program · Mountain Home, ID

NPI number 1265066971 Active

Practice location

90 Hope Drive, Bldg 6000
Mountain Home, ID 83647

Mailing address

90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648-1062

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD-5148 (ID)
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 1265066971

Weston Vern Frandsen's National Provider Identifier is 1265066971, issued on Mar 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mountain Home, ID. The record was last updated on Jun 3, 2022.