Individual provider · Type 1 NPI
Jerrica L. Pitzen
Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
NPI number
1366052052
Active
Practice location
350 S 400 E
Salt Lake City, UT 84111-2905
Fax (801) 582-5540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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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- Garrett Smith, MDStudent in an Organized Health Care Education/Training Program Salt Lake City, UT NPI 1003756818
About NPI 1366052052
Jerrica L. Pitzen's National Provider Identifier is 1366052052, issued on Aug 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 6, 2020.