Individual provider · Type 1 NPI

Carissa Tice

Student in an Organized Health Care Education/Training Program · Allentown, PA

NPI number 1780450650 Active

Practice location

519 South Bradford Street
Allentown, PA 18109

Call (484) 221-1133 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 1780450650

Carissa Tice's National Provider Identifier is 1780450650, issued on Nov 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Allentown, PA. The record was last updated on Nov 30, 2023.