Individual provider · Type 1 NPI
Shabreka Dorshell Coleman
Student in an Organized Health Care Education/Training Program · Grant, OK
NPI number
1780040147
Active
Practice location
1475 North 4220 Road
Grant, OK 74743
Mailing address
1475 North 4220 Road
Grant, OK 74738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1780040147
Shabreka Dorshell Coleman's National Provider Identifier is 1780040147, issued on Jan 14, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grant, OK. The record was last updated on Jan 14, 2016.