Individual provider · Type 1 NPI
Tegan Renee Weaver
Student in an Organized Health Care Education/Training Program · West Melbourne, FL
NPI number
1780149286
Active
Practice location
2381 Stratford Pointe Dr
West Melbourne, FL 32904-8054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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 1780149286
Tegan Renee Weaver's National Provider Identifier is 1780149286, issued on Feb 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Melbourne, FL. The record was last updated on Feb 8, 2019.