MIA ANNE IANDOLO - NPI 1104794510 - Student in an Organized Health Care Education/Training Program in Little Rock, AR

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Mia Anne Iandolo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA ANNE IANDOLO (NPI 1104794510) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1104794510

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMIA ANNE IANDOLO

Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101

Mailing Address4301 W Markham StLittle Rock, AR 72205-7101

Phone(501) 686-8000

Sole ProprietorNo

Enumeration DateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1104794510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

4301 W MARKHAM ST, Little Rock, AR 72205

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