Individual provider · Type 1 NPI
Rayann Nowacki
Student in an Organized Health Care Education/Training Program · Lake Station, IN
NPI number
1629930599
Active
Practice location
4835 E 25th Ave
Lake Station, IN 46405-2623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1629930599
Rayann Nowacki's National Provider Identifier is 1629930599, issued on Dec 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Station, IN. The record was last updated on Dec 1, 2025.