Individual provider · Type 1 NPI

Nicolette Boudreaux Wilkenfeld

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1336789940 Active

Practice location

1255 Allston Way
Berkeley, CA 94702-1833

Call (510) 845-9010 Map

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 1336789940

Nicolette Boudreaux Wilkenfeld's National Provider Identifier is 1336789940, issued on Jan 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Jan 11, 2020.