Individual provider · Type 1 NPI

Madeline Fraga

Student in an Organized Health Care Education/Training Program · Pensacola, FL

NPI number 1376274266 Active

Practice location

11000 University Pkwy
Pensacola, FL 32514-5732

Mailing address

714 Valley Grande Rd
Pensacola, FL 32514-1564

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 1376274266

Madeline Fraga's National Provider Identifier is 1376274266, issued on Jun 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pensacola, FL. The record was last updated on Jun 21, 2022.