Individual provider · Type 1 NPI
Delaney Mizelle
Student in an Organized Health Care Education/Training Program · Irmo, SC
NPI number
1538040431
Active
Practice location
1600 Marina Rd Unit 323A
Irmo, SC 29063-6920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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.
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About NPI 1538040431
Delaney Mizelle's National Provider Identifier is 1538040431, issued on Sep 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Irmo, SC. The record was last updated on Sep 9, 2025.