Individual provider · Type 1 NPI

Madison Nichole Putman

Student in an Organized Health Care Education/Training Program · Conway, AR

NPI number 1356839096 Active

Practice location

3430 Irby Dr Apt 2309
Conway, AR 72034-7692

Call (501) 428-8912 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1356839096

Madison Nichole Putman's National Provider Identifier is 1356839096, issued on Apr 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conway, AR. The record was last updated on Apr 27, 2018.