Individual provider · Type 1 NPI

Daniel A. Green

Student in an Organized Health Care Education/Training Program · Pocatello, ID

NPI number 1902603186 Active

Practice location

921 S 8th Ave
Pocatello, ID 83201-5377

Call (208) 282-4636 Map

Mailing address

905 S 3rd Ave Apt 2
Pocatello, ID 83201-6606

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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.

5 other providers at this address

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About NPI 1902603186

Daniel A. Green's National Provider Identifier is 1902603186, issued on Feb 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pocatello, ID. The record was last updated on Feb 26, 2025.