Individual provider · Type 1 NPI

Breanna Renee Bacon

Student in an Organized Health Care Education/Training Program · Spokane, WA

NPI number 1417548744 Active

Practice location

200 N Bernard St
Spokane, WA 99201-0206

Call (509) 354-7946 Map

Fax (509) 835-1281

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 1417548744

Breanna Renee Bacon's National Provider Identifier is 1417548744, issued on Jan 29, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spokane, WA. The record was last updated on Jan 29, 2021.