Individual provider · Type 1 NPI
Levi Austin Destafano
Electroneurodiagnostic Specialist/Technologist · Auburn, AL
NPI number
1497617815
Active
Practice location
1561 Grove Hill Rd
Auburn, AL 36830-7544
Mailing address
20000 E Fort Mcpherson Rd
Maxwell, NE 69151-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
2 other providers at this address
About NPI 1497617815
Levi Austin Destafano's National Provider Identifier is 1497617815, issued on Nov 25, 2025. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Auburn, AL. The record was last updated on Nov 25, 2025.