Individual provider · Type 1 NPI
Tracy R. Braithwaite
Student in an Organized Health Care Education/Training Program · Moroni, UT
NPI number
1477366805
Active
Practice location
PO Box 524
Moroni, UT 84646-0524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1477366805
Tracy R. Braithwaite's National Provider Identifier is 1477366805, issued on Jan 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moroni, UT. The record was last updated on Jan 29, 2025.