Individual provider · Type 1 NPI

Antonio Gragg-Hernandez

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1992619241 Active

Practice location

5040 E Shea Blvd, #164
Phoenix, AZ 85028

Call (480) 690-9532 Map

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 1992619241

Antonio Gragg-Hernandez's National Provider Identifier is 1992619241, issued on Oct 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 1, 2026.