Individual provider · Type 1 NPI

Grace Loraine Brown

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1295290062 Active

Practice location

4090 Geddes Rd
Ann Arbor, MI 48105-2750

Mailing address

3001 Woodland Hills Dr Apt 22
Ann Arbor, MI 48108-2179

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1295290062

Grace Loraine Brown's National Provider Identifier is 1295290062, issued on Feb 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Feb 6, 2019.