Individual provider · Type 1 NPI
Caila Degrandi
Student in an Organized Health Care Education/Training Program · New Haven, CT
NPI number
1417763392
Active
Practice location
501 Crescent Street
New Haven, CT 06515
Mailing address
80 West Rocks Road
Norwalk, CT 06851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1417763392
Caila Degrandi's National Provider Identifier is 1417763392, issued on Dec 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Dec 5, 2024.