Individual provider · Type 1 NPI

Nicole Bianca San Juan Libiran

Student in an Organized Health Care Education/Training Program · Crown Point, IN

NPI number 1659189199 Active

Practice location

10684 Erie Dr
Crown Point, IN 46307-9454

Call (219) 776-3489 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X390200000X

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 1659189199

Nicole Bianca San Juan Libiran's National Provider Identifier is 1659189199, issued on Dec 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Crown Point, IN. The record was last updated on Dec 30, 2024.