Individual provider · Type 1 NPI

Brooke Tazzia

Student in an Organized Health Care Education/Training Program · East Lansing, MI

NPI number 1760395461 Active

Practice location

909 Wilson Rd Rm B419
East Lansing, MI 48824-6410

Call (517) 353-2460 Map

Mailing address

315 Knorrwood Dr
Rochester, MI 48306-1768

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 1760395461

Brooke Tazzia's National Provider Identifier is 1760395461, issued on Sep 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Lansing, MI. The record was last updated on Sep 24, 2026.