Individual provider · Type 1 NPI

Autumn Hailey Fenner

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1871407254 Active

Practice location

4701 N Charles St
Baltimore, MD 21210-2404

Call (410) 435-0100 Map

Mailing address

15 Ketch Cay Ct
Middle River, MD 21220-7512

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 1871407254

Autumn Hailey Fenner's National Provider Identifier is 1871407254, issued on Oct 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 1, 2026.