Individual provider · Type 1 NPI

Athena Wallis

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1528963261 Active

Practice location

2484 Natomas Park Dr Ste 100
Sacramento, CA 95833-2928

Call (916) 900-3130 Map

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.

Other student in an organized health care education/training program providers in Sacramento

See all in Sacramento →

About NPI 1528963261

Athena Wallis's National Provider Identifier is 1528963261, issued on Oct 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 12, 2026.