Individual provider · Type 1 NPI

Ellie Gorman

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1902589542 Active

Practice location

Department Of Family And Community Medicine, CU2RE Program
Birmingham, AL 35205

Mailing address

930 20th St S
Birmingham, AL 35205-2610

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 1902589542

Ellie Gorman's National Provider Identifier is 1902589542, issued on Aug 10, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Nov 8, 2024.