Individual provider · Type 1 NPI
Nathan Stahl
Student in an Organized Health Care Education/Training Program · West Peoria, IL
NPI number
1366896953
Active
Practice location
2516 W Downs Cir
West Peoria, IL 61604-5040
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.
About NPI 1366896953
Nathan Stahl's National Provider Identifier is 1366896953, issued on Apr 20, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Peoria, IL. The record was last updated on Apr 20, 2016.