Individual provider · Type 1 NPI

Jordan Renee Larzalere

Student in an Organized Health Care Education/Training Program · Wichita, KS

NPI number 1407766488 Active

Practice location

2420 N Woodlawn Blvd
Wichita, KS 67220-3970

Call (316) 347-7157 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 1407766488

Jordan Renee Larzalere's National Provider Identifier is 1407766488, issued on Sep 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wichita, KS. The record was last updated on Sep 10, 2026.