Individual provider · Type 1 NPI

Makenna C. Kroulik

Student in an Organized Health Care Education/Training Program · Glendale, AZ

NPI number 1356952030 Active

Practice location

5218 W Tierra Buena Ln
Glendale, AZ 85306-2515

Call (623) 238-1387 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 1356952030

Makenna C. Kroulik's National Provider Identifier is 1356952030, issued on Aug 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on Aug 14, 2020.