Grace Elizabeth David

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

NPI 1861950693 · NPPES record last updated Mar 11, 2019

Key facts

NPI
1861950693
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
29805 Amvets Rd
Albany, LA 70711-4218
Phone
(985) 974-6963
NPI assigned
Mar 11, 2019
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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X LA
Student in an Organized Health Care Education/Training Program 390200000X LA Yes

Addresses

Primary practice location

29805 Amvets Rd
Albany, LA 70711-4218

Mailing address

29805 Amvets Rd
Albany, LA 70711-4218
Phone (985) 974-6963

Other providers in Albany, LA

All providers in Albany, LA · Student in an Organized Health Care Education/Training Program in Louisiana

Sources for this page

Verify at the official NPI Registry.