Individual provider · Type 1 NPI

Maitland Blue Wiren, DO

Student in an Organized Health Care Education/Training Program · Salem, VA

NPI number 1346980083 Active

Practice location

1900 Electric Rd
Salem, VA 24153-7494

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 1346980083

Maitland Blue Wiren, DO's National Provider Identifier is 1346980083, issued on Mar 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salem, VA. The record was last updated on Mar 30, 2022.