Individual provider · Type 1 NPI
Tiera Taite
Student in an Organized Health Care Education/Training Program · Grove Hill, AL
NPI number
1306231246
Active
Practice location
1957 Mt. Zion Rd
Grove Hill, AL 36451-0023
Mailing address
PO Box 23
Grove Hill, AL 36451-0023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 7667724 (AL) |
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.
About NPI 1306231246
Tiera Taite's National Provider Identifier is 1306231246, issued on Mar 30, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grove Hill, AL. The record was last updated on Mar 30, 2015.