Individual provider · Type 1 NPI

Sierra Van Burkleo

Student in an Organized Health Care Education/Training Program · Tukwila, WA

NPI number 1366058745 Active

Practice location

6100 Southcenter Blvd
Tukwila, WA 98188-2442

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone 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 1366058745

Sierra Van Burkleo's National Provider Identifier is 1366058745, issued on Sep 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tukwila, WA. The record was last updated on Sep 21, 2020.