Individual provider · Type 1 NPI

Tatum Justine Holt

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1629866462 Active

Practice location

1414 Maryland Ave E
St. Paul, MN 55106-2824

Call (651) 793-5613 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 1629866462

Tatum Justine Holt's National Provider Identifier is 1629866462, issued on Apr 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Apr 30, 2025.