Individual provider · Type 1 NPI

Caitlin Ellis

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1396355236 Active

Practice location

3075 Adeline St Ste 120
Berkeley, CA 94703-2579

Call (510) 848-1112 Map

Mailing address

737 2nd St Apt 310
Oakland, CA 94607-3010

Specialties and licenses

TaxonomyCodeLicense
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 1396355236

Caitlin Ellis's National Provider Identifier is 1396355236, issued on Aug 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Aug 5, 2020.