Individual provider · Type 1 NPI

Reanna Sade Lizardo

Student in an Organized Health Care Education/Training Program · Nutley, NJ

NPI number 1417600438 Active

Practice location

340 Kingsland St
Nutley, NJ 07110-1150

Call (973) 761-9000 Map

Mailing address

376 E 8th St Apt C6
Brooklyn, NY 11218-4258

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 1417600438

Reanna Sade Lizardo's National Provider Identifier is 1417600438, issued on Jan 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nutley, NJ. The record was last updated on Jan 31, 2022.