Individual provider · Type 1 NPI

Nicole Amanda Mirkin, M.ED.

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1427459080 Active

Practice location

6043 Hollywood Blvd
Los Angeles, CA 90028-5411

Call (818) 571-7999 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 1427459080

Nicole Amanda Mirkin, M.ED.'s National Provider Identifier is 1427459080, issued on Sep 12, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 15, 2014.