Nathan Sheneberger

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Long Prairie, MN

NPI 1851746085 · NPPES record last updated Apr 25, 2016

Key facts

NPI
1851746085
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
26192 Inspiration TRL
Long Prairie, MN 56347-4402
Phone
(320) 405-9824
NPI assigned
Apr 25, 2016
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
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

26192 Inspiration TRL
Long Prairie, MN 56347-4402

Mailing address

26192 Inspiration TRL
Long Prairie, MN 56347-4402
Phone (320) 405-9824

Other providers in Long Prairie, MN

All providers in Long Prairie, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.