Individual provider · Type 1 NPI

Maddy R. Miacolo

Student in an Organized Health Care Education/Training Program · Spokane, WA

NPI number 1306713664 Active

Practice location

310 N Riverpoint Blvd
Spokane, WA 99202-1610

Call (509) 828-1300 Map

Mailing address

10216 N Milton Ct
Spokane, WA 99208-4480

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 1306713664

Maddy R. Miacolo's National Provider Identifier is 1306713664, issued on Oct 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spokane, WA. The record was last updated on Oct 24, 2025.