Individual provider · Type 1 NPI

Mikayla Corin Talak, ATC

Student in an Organized Health Care Education/Training Program · Virginia Beach, VA

NPI number 1528609013 Active

Practice location

1904 English Oak Ct
Virginia Beach, VA 23453-7088

Call (757) 580-2020 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X200003962 (VA)
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 1528609013

Mikayla Corin Talak, ATC's National Provider Identifier is 1528609013, issued on Oct 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 22, 2020.