Individual provider · Type 1 NPI

Nicoli Shenaya Peiris

Student in an Organized Health Care Education/Training Program · Maywood, IL

NPI number 1679403315 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (888) 584-7888 Map

Mailing address

20346 Anza Ave Apt 23
Torrance, CA 90503-7417

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 1679403315

Nicoli Shenaya Peiris's National Provider Identifier is 1679403315, issued on May 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maywood, IL. The record was last updated on May 22, 2026.