Individual provider · Type 1 NPI

Anitra Agnew

Student in an Organized Health Care Education/Training Program · Wampsville, NY

NPI number 1265096267 Active

Practice location

138 N Court St
Wampsville, NY 13163-7714

Call (315) 366-2327 Map

Mailing address

124 Saint Louis Ave
Syracuse, NY 13207-2247

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 1265096267

Anitra Agnew's National Provider Identifier is 1265096267, issued on Apr 24, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wampsville, NY. The record was last updated on Apr 24, 2019.