Individual provider · Type 1 NPI

Carly Rene Tittle

Student in an Organized Health Care Education/Training Program · Glendale, AZ

NPI number 1679461982 Active

Practice location

17235 N 75th Ave
Glendale, AZ 85308-0831

Call (480) 878-7115 Map

Mailing address

28787 N 68th Ave
Peoria, AZ 85383-6657

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 1679461982

Carly Rene Tittle's National Provider Identifier is 1679461982, issued on Jun 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on Jun 25, 2025.