Individual provider · Type 1 NPI
Peter Cosmo Engley
Student in an Organized Health Care Education/Training Program · West Tisbury, MA
NPI number
1952942237
Active
Practice location
26 Pine Lane
West Tisbury, MA 02575-0257
Mailing address
PO Box 933
West Tisbury, MA 02575-0933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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 1952942237
Peter Cosmo Engley's National Provider Identifier is 1952942237, issued on Oct 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Tisbury, MA. The record was last updated on Oct 8, 2019.