Individual provider · Type 1 NPI

Tracie Ebalu

Student in an Organized Health Care Education/Training Program · Pittsburgh, PA

NPI number 1922872472 Active

Practice location

4909 Centre Ave Apt 10
Pittsburgh, PA 15213-1859

Mailing address

210 S Bouquet St Fl 3
Pittsburgh, PA 15213-4034

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 1922872472

Tracie Ebalu's National Provider Identifier is 1922872472, 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 Pittsburgh, PA. The record was last updated on Nov 14, 2023.