Individual provider · Type 1 NPI

Tracy Del Angel Isenberg

Student in an Organized Health Care Education/Training Program · Atoka, OK

NPI number 1780056200 Active

Practice location

706 S. Greathouse Drive
Atoka, OK 74525

Call (580) 889-3553 Map

Fax (580) 889-4050

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 1780056200

Tracy Del Angel Isenberg's National Provider Identifier is 1780056200, issued on Oct 23, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atoka, OK. The record was last updated on Oct 23, 2015.