Individual provider · Type 1 NPI

Katelyn Rose

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

NPI number 1679094114 Active

Practice location

4000 Central Florida Blvd
Orlando, FL 32816-8005

Mailing address

4440 Gentle Knoll Dr S
Jacksonville, FL 32258-4158

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 1679094114

Katelyn Rose's National Provider Identifier is 1679094114, issued on Jul 6, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Jul 6, 2017.