Individual provider · Type 1 NPI

Corianne Fern Victor, RESIDENT/TRAINEE

Student in an Organized Health Care Education/Training Program · Fairborn, OH

NPI number 1669232229 Active

Practice location

2555 University Blvd.
Fairborn, OH 45324

Mailing address

2555 University Dr
Fairborn, OH 45324-6255

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 1669232229

Corianne Fern Victor, RESIDENT/TRAINEE's National Provider Identifier is 1669232229, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairborn, OH. The record was last updated on Sep 11, 2025.