Individual provider · Type 1 NPI

Anna Rose Tang

Student in an Organized Health Care Education/Training Program · Flagstaff, AZ

NPI number 1407760689 Active

Practice location

1900 S Knoles Drive
Flagstaff, AZ 86011-0001

Mailing address

6510 E Raftriver St
Mesa, AZ 85215-9768

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 1407760689

Anna Rose Tang's National Provider Identifier is 1407760689, issued on Oct 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flagstaff, AZ. The record was last updated on Oct 2, 2026.