Individual provider · Type 1 NPI
Madisun Hope Shore
Student in an Organized Health Care Education/Training Program · Winston Salem, NC
NPI number
1376466607
Active
Practice location
501 W 4th St Apt 440
Winston Salem, NC 27101-3866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 01705 (NC) |
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 1376466607
Madisun Hope Shore's National Provider Identifier is 1376466607, issued on Aug 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 3, 2026.