Individual provider · Type 1 NPI

Sera Stotelmyre

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1861311227 Active

Practice location

1 Gustave L Levy Pl Fl 12
New York, NY 10029-6574

Call (760) 994-8392 Map

Mailing address

1318 Madison Ave
Winston Salem, NC 27103-5134

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 1861311227

Sera Stotelmyre's National Provider Identifier is 1861311227, issued on Jul 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jul 10, 2026.