Individual provider · Type 1 NPI

Alexis Shirley-Fidelman Tabaka, PN

Student in an Organized Health Care Education/Training Program · Battle Creek, MI

NPI number 1962294769 Active

Practice location

300 North Ave
Battle Creek, MI 49017-3307

Call (269) 986-8075 Map

Mailing address

4281 Beckley Rd
Battle Creek, MI 49015-9327

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 1962294769

Alexis Shirley-Fidelman Tabaka, PN's National Provider Identifier is 1962294769, issued on May 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Battle Creek, MI. The record was last updated on May 19, 2025.