Individual provider · Type 1 NPI
Gracey Mae Eden
Student in an Organized Health Care Education/Training Program · Bangor, PA
NPI number
1639634785
Active
Practice location
712 Laurel Hill Rd
Bangor, PA 18013-5564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
Other student in an organized health care education/training program providers in Bangor
About NPI 1639634785
Gracey Mae Eden's National Provider Identifier is 1639634785, issued on Feb 4, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bangor, PA. The record was last updated on Feb 4, 2019.