Individual provider · Type 1 NPI

Olivia Mikaelian

Student in an Organized Health Care Education/Training Program · Pueblo, CO

NPI number 1902670516 Active

Practice location

2200 Bonforte Blvd
Pueblo, CO 81001-4901

Call (719) 549-2530 Map

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.

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About NPI 1902670516

Olivia Mikaelian's National Provider Identifier is 1902670516, issued on Nov 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 14, 2023.