Individual provider · Type 1 NPI

Wyatt O'Neil

Student in an Organized Health Care Education/Training Program · Green Bay, WI

NPI number 1619429479 Active

Practice location

3044 Warm Springs Dr
Green Bay, WI 54311-5030

Call (920) 655-1269 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone 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 1619429479

Wyatt O'Neil's National Provider Identifier is 1619429479, issued on Oct 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Green Bay, WI. The record was last updated on Oct 27, 2016.