Individual provider · Type 1 NPI

Nakisha Rae Antonio

Student in an Organized Health Care Education/Training Program · Las Cruces, NM

NPI number 1730608480 Active

Practice location

1815 Wells St
Las Cruces, NM 88003-1304

Call (575) 646-5038 Map

Mailing address

3280 Hillrise Dr
Las Cruces, NM 88011-4778

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1730608480

Nakisha Rae Antonio's National Provider Identifier is 1730608480, issued on Sep 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Cruces, NM. The record was last updated on Sep 13, 2017.