Individual provider · Type 1 NPI
Stacy Nicle Mahinda
Student in an Organized Health Care Education/Training Program · Sherman, IL
NPI number
1508254004
Active
Practice location
41 Knollwood Dr
Sherman, IL 62684-9524
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 1508254004
Stacy Nicle Mahinda's National Provider Identifier is 1508254004, issued on Jan 6, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sherman, IL. The record was last updated on Jan 6, 2015.