Individual provider · Type 1 NPI

Ivan Enrique Nunez Carrasco

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1750201570 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6000 Map

Mailing address

50 W Port Plz Apt 426
St. Louis, MO 63146-3161

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 1750201570

Ivan Enrique Nunez Carrasco's National Provider Identifier is 1750201570, issued on Jul 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 20, 2026.