Individual provider · Type 1 NPI
Melvin Enderes, ATC
Student in an Organized Health Care Education/Training Program · Brambleton, VA
NPI number
1710584792
Active
Practice location
42678 Frontier Dr
Brambleton, VA 20148-7207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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.
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- Alexandra Nicole Cipolla, BSN, RNStudent in an Organized Health Care Education/Training Program Brambleton, VA NPI 1609780204
About NPI 1710584792
Melvin Enderes, ATC's National Provider Identifier is 1710584792, issued on Oct 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brambleton, VA. The record was last updated on Nov 27, 2023.