Individual provider · Type 1 NPI

Madison Wallace

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1891554572 Active

Practice location

1 Kneeland St
Boston, MA 02111-1527

Call (617) 636-6828 Map

Mailing address

99 Kneeland St Apt 509
Boston, MA 02111-2436

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 1891554572

Madison Wallace's National Provider Identifier is 1891554572, issued on Mar 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 15, 2024.