Individual provider · Type 1 NPI
Floyd Randel Gummersall, RN
Student in an Organized Health Care Education/Training Program · Bisbee, AZ
NPI number
1699517896
Active
Practice location
400 Headstart Way
Bisbee, AZ 85603-9764
Fax (307) 371-4843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1699517896
Floyd Randel Gummersall, RN's National Provider Identifier is 1699517896, issued on Jun 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bisbee, AZ. The record was last updated on Jun 10, 2024.