Individual provider · Type 1 NPI

Breanna Bombard

Student in an Organized Health Care Education/Training Program · Clearwater, FL

NPI number 1649883208 Active

Practice location

29228 US Highway 19 N
Clearwater, FL 33761-2101

Mailing address

212 Palm Ln N
St. Petersburg, FL 33710-7718

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 1649883208

Breanna Bombard's National Provider Identifier is 1649883208, issued on Aug 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clearwater, FL. The record was last updated on Aug 24, 2020.