Individual provider · Type 1 NPI

Breanna Nicole Sprague

Student in an Organized Health Care Education/Training Program · Chateaugay, NY

NPI number 1356196315 Active

Practice location

42 River St
Chateaugay, NY 12920-2002

Mailing address

1074 County Route 25
Malone, NY 12953-6018

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 1356196315

Breanna Nicole Sprague's National Provider Identifier is 1356196315, issued on Apr 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chateaugay, NY. The record was last updated on Apr 22, 2024.