Sydney Geneva Anglea
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Eagle, ID
NPI 1376246728 · NPPES record last updated Mar 24, 2023
Key facts
- NPI
- 1376246728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 427 South Silver Bow Avenue
Eagle, ID 83616 - Phone
- (208) 449-8913
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
427 South Silver Bow Avenue
Eagle, ID 83616
Mailing address
427 South Silver Bow Avenue
Eagle, ID 83616
Phone (208) 449-8913
Other providers in Eagle, ID
- Jacalyn Renae Amrine
- Anchor Path Support Services LLC
- Anchored Support NW LLC
- Jacqueline Andazola
- Katherine Hawkins Andrews
- Vespera Aragon
- Ashley Manor, LLC
- Ashley Manor, LLC
- Kevin Asplund
- Julie Ann Austin
All providers in Eagle, ID · Student in an Organized Health Care Education/Training Program in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.