Individual provider · Type 1 NPI

Katelyn Wyeth

Student in an Organized Health Care Education/Training Program · Bloomington, IN

NPI number 1780397067 Active

Practice location

701 E 17th St
Bloomington, IN 47408-1578

Call (812) 855-1966 Map

Mailing address

400 E Melrose Ave
Bloomington, IN 47401-1904

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 1780397067

Katelyn Wyeth's National Provider Identifier is 1780397067, issued on Jan 2, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bloomington, IN. The record was last updated on Jan 2, 2023.