Individual provider · Type 1 NPI

Breanna Lynn Von Der Heide, MD

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1467254052 Active

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

653 N Waldoch Dr
Appleton, WI 54913-8445

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 1467254052

Breanna Lynn Von Der Heide, MD's National Provider Identifier is 1467254052, issued on Mar 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Mar 25, 2025.