Bianca Nicole Alonso
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · St.George, UT
NPI 1619633807 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1619633807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1526 E Medical Center Dr
St.George, UT 84790-6293 - Phone
- (575) 214-1129
- NPI assigned
- Nov 11, 2021
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT22023 | NM | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT22023 | NM | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1526 E Medical Center Dr
St.George, UT 84790-6293
Mailing address
1526 E Medical Center Dr
St. George, UT 84790
Other providers in St.George, UT
All providers in St.George, UT · Student in an Organized Health Care Education/Training Program in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. 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.