Individual provider · Type 1 NPI

Tavia Rae Walsh, STUDENT, TO BE COMPL

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

NPI number 1356288641 Active

Practice location

1 Brookdale Plz
Brooklyn, NY 11212-3139

Call (718) 240-5703 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 1356288641

Tavia Rae Walsh, STUDENT, TO BE COMPL's National Provider Identifier is 1356288641, issued on May 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on May 4, 2026.