Organization · Type 2 NPI

Project Patch

Student in an Organized Health Care Education/Training Program · Garden Valley, ID

NPI number 1487514113 Active

Practice location

116 Brush Creek Rd
Garden Valley, ID 83622-1011

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 1487514113

Project Patch's National Provider Identifier is 1487514113, issued on Nov 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Garden Valley, ID. The record was last updated on Nov 14, 2025.