Individual provider · Type 1 NPI

Craig Baron Halverson

Student in an Organized Health Care Education/Training Program · Lake Havasu City, AZ

NPI number 1538077102 Active

Practice location

1990 Mcculloch Blvd N Ste D298
Lake Havasu City, AZ 86403-5749

Specialties and licenses

TaxonomyCodeLicense
Health & Wellness Coach 171400000XNone listed
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 1538077102

Craig Baron Halverson's National Provider Identifier is 1538077102, issued on Sep 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Sep 1, 2026.