Individual provider · Type 1 NPI

Nicole Anne Medine

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

NPI number 1396654794 Active

Practice location

718 Echo Park Ave
Los Angeles, CA 90026-4208

Call (213) 238-2505 Map

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 1396654794

Nicole Anne Medine's National Provider Identifier is 1396654794, issued on Sep 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 2, 2026.