Individual provider · Type 1 NPI

Isabella Divirgilio

Student in an Organized Health Care Education/Training Program · University Park, PA

NPI number 1639799125 Active

Practice location

201 Curtain Rd
University Park, PA 16802

Mailing address

138 Briar Ct
Port Matilda, PA 16870-7056

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1639799125

Isabella Divirgilio's National Provider Identifier is 1639799125, issued on Apr 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in University Park, PA. The record was last updated on Apr 24, 2020.