Individual provider · Type 1 NPI

Elizabeth Jane Pepper

Student in an Organized Health Care Education/Training Program · Portales, NM

NPI number 1831691567 Active

Practice location

1500 S Ave K, Station 3, Shroc
Portales, NM 88101

Mailing address

1500 S Ave K Station 3, Shroc Portales, Nm 88130
Portales, NM 88101

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 1831691567

Elizabeth Jane Pepper's National Provider Identifier is 1831691567, issued on Mar 8, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portales, NM. The record was last updated on Mar 8, 2018.