Individual provider · Type 1 NPI

Dana Vander Wal

Student in an Organized Health Care Education/Training Program · Fargo, ND

NPI number 1427522754 Active

Practice location

315 30th Ave N Apt 16
Fargo, ND 58102-1567

Call (507) 220-1929 Map

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 1427522754

Dana Vander Wal's National Provider Identifier is 1427522754, issued on Jan 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fargo, ND. The record was last updated on Jan 21, 2019.