Individual provider · Type 1 NPI

Vivian Wrenn

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1326601741 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-4940 Map

Mailing address

182 Cotillion Rd
Fort Worth, TX 76134-4606

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 1326601741

Vivian Wrenn's National Provider Identifier is 1326601741, issued on Apr 22, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Apr 22, 2019.