Individual provider · Type 1 NPI

Nikelia Chisolm

Student in an Organized Health Care Education/Training Program · Middletown, CT

NPI number 1801407101 Active

Practice location

515 Centerpoint Dr
Middletown, CT 06457-7570

Mailing address

211H W 151st St Apt 2A
New York, NY 10039-1965

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 1801407101

Nikelia Chisolm's National Provider Identifier is 1801407101, issued on Aug 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Middletown, CT. The record was last updated on Aug 11, 2020.