Individual provider · Type 1 NPI

Nicolas Reyes

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1629914478 Active

Practice location

11133 Dunn Rd
St. Louis, MO 63136-6163

Mailing address

3534 Gratiot St Apt 348
St. Louis, MO 63103-2952

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 1629914478

Nicolas Reyes's National Provider Identifier is 1629914478, issued on Apr 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 24, 2026.