Individual provider · Type 1 NPI

Ethan Smolley

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1992408017 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-0816

Call (434) 924-8485 Map

Fax (434) 924-2231

Mailing address

1215 Lee Street Box 800699
Charlottesville, VA 22908-0001

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 1992408017

Ethan Smolley's National Provider Identifier is 1992408017, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Mar 27, 2023.