Individual provider · Type 1 NPI

Shawntaya Bertharene Pride

Student in an Organized Health Care Education/Training Program · Parker, AZ

NPI number 1285882381 Active

Practice location

12033 Agency Rd
Parker, AZ 85344-7718

Mailing address

12033 Agency Road, Parker Indian Health Center
Parker, AZ 85344

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 1285882381

Shawntaya Bertharene Pride's National Provider Identifier is 1285882381, issued on Sep 3, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Parker, AZ. The record was last updated on Sep 3, 2008.