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Athena Nicole Konicki
Student in an Organized Health Care Education/Training Program in Vancouver, Washington
NPI 1508509050

Athena Nicole Konicki is a Student in an Organized Health Care Education/Training Program based in Vancouver, WA. Athena Nicole Konicki practices in Vancouver, WA. The NPI Number for Athena Nicole Konicki is 1508509050 and holds a License No. (Washington).

The current practice location address for Athena Nicole Konicki is 100 E 33Rd St Ste 100, Vancouver, WA and can be reached out via phone at 360-514-7550.

Location: 100 E 33Rd St Ste 100, Vancouver, WA, 98663-2776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508509050
Provider Name
Athena Nicole Konicki
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 E 33Rd St Ste 100, Vancouver, WA, 98663-2776
Phone Number
360-514-7550
Fax Number
Provider Enumeration Date
04/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 E 33Rd St Ste 100
City
Vancouver
State
Washington
Zip
98663-2776
Phone Number
360-514-7550
Fax Number
person
Provider Business Mailing Address Details
Address
100 E 33Rd St Ste 100
City
Vancouver
State
Washington
Zip
98663-2776
Phone Number
360-514-7550
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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