Individual provider · Type 1 NPI
Keyanna Tiarra Rousseau
Student in an Organized Health Care Education/Training Program · Winston Salem, NC
NPI number
1356018642
Active
Practice location
3936 Ogburn Ave
Winston Salem, NC 27105-3758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1356018642
Keyanna Tiarra Rousseau's National Provider Identifier is 1356018642, issued on Aug 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 25, 2021.