Individual provider · Type 1 NPI

Allyson Lynn Haack

Student in an Organized Health Care Education/Training Program · Pocatello, ID

NPI number 1619851201 Active

Practice location

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002

Call (208) 282-4726 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.

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About NPI 1619851201

Allyson Lynn Haack's National Provider Identifier is 1619851201, issued on Aug 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 5, 2025.