Individual provider · Type 1 NPI

Wana Deronvil

Student in an Organized Health Care Education/Training Program · Coconut Creek, FL

NPI number 1871185694 Active

Practice location

961 NW 48th Ave
Coconut Creek, FL 33063-4630

Call (754) 209-8855 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone 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 1871185694

Wana Deronvil's National Provider Identifier is 1871185694, issued on Feb 4, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Coconut Creek, FL. The record was last updated on Feb 5, 2021.