Sean Altice

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mesa, AZ

NPI 1225845472 · NPPES record last updated Jun 4, 2026

Key facts

NPI
1225845472
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
5850 E Still Cir
Mesa, AZ 85206-3618
Phone
(540) 519-4229
NPI assigned
Dec 11, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AZ Yes

Addresses

Primary practice location

5850 E Still Cir
Mesa, AZ 85206-3618

Mailing address

5850 E Still Cir
Mesa, AZ 85206-3618

Other providers in Mesa, AZ

All providers in Mesa, AZ · Student in an Organized Health Care Education/Training Program in Arizona

Sources for this page

Verify at the official NPI Registry.