Individual provider · Type 1 NPI

Elle Shaw

Student in an Organized Health Care Education/Training Program · College Station, TX

NPI number 1780317982 Active

Practice location

1019 Milner Dr
College Station, TX 77840-2214

Call (281) 736-9464 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1780317982

Elle Shaw's National Provider Identifier is 1780317982, issued on Jul 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in College Station, TX. The record was last updated on Jul 5, 2022.