Individual provider · Type 1 NPI
Bailey Van Gorden
Student in an Organized Health Care Education/Training Program · Jordan, NY
NPI number
1922771476
Active
Practice location
6570 Grimes Rd
Jordan, NY 13080-8705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1922771476
Bailey Van Gorden's National Provider Identifier is 1922771476, issued on Jul 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jordan, NY. The record was last updated on Jul 30, 2021.