Individual provider · Type 1 NPI

Matthew Tello

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

NPI number 1356247100 Active

Practice location

43107 Shadow Ter
Leesburg, VA 20176-3655

Call (571) 420-5864 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.

Other student in an organized health care education/training program providers in Leesburg

See all in Leesburg →

About NPI 1356247100

Matthew Tello's National Provider Identifier is 1356247100, issued on Oct 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Leesburg, VA. The record was last updated on Oct 19, 2026.