Individual provider · Type 1 NPI

Abby Brustad

Student in an Organized Health Care Education/Training Program · Martinez, CA

NPI number 1265220776 Active

Practice location

2500 Alhambra Ave
Martinez, CA 94553-3156

Mailing address

6485 Game Farm Rd E
Mound, MN 55364-8376

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X1265220776 (CA)
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 1265220776

Abby Brustad's National Provider Identifier is 1265220776, issued on Apr 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Martinez, CA. The record was last updated on Jun 23, 2025.