Isabella Reagan Applegarth

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · La Porte, IN

NPI 1891504387 · NPPES record last updated Dec 30, 2024

Key facts

NPI
1891504387
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2846 S 350 W
La Porte, IN 46350-9522
Phone
(219) 851-9467
NPI assigned
Dec 30, 2024
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

Specialties & licenses

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

Addresses

Primary practice location

2846 S 350 W
La Porte, IN 46350-9522

Mailing address

2846 S 350 W
La Porte, IN 46350-9522
Phone (219) 851-9467

Other providers in La Porte, IN

All providers in La Porte, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.