Individual provider · Type 1 NPI

Shantell House

Student in an Organized Health Care Education/Training Program · Elk Grove, CA

NPI number 1740167949 Active

Practice location

8788 Elk Grove Blvd Bldg 2
Elk Grove, CA 95624-1766

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 1740167949

Shantell House's National Provider Identifier is 1740167949, issued on Aug 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elk Grove, CA. The record was last updated on Jul 27, 2026.