MATEO MARSHALL - NPI 1285567990 - Student in an Organized Health Care Education/Training Program in Harrisburg, PA

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 Mateo Marshall NPPES

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

MATEO MARSHALL (NPI 1285567990) is an individual student in an organized health care education/training program in Harrisburg, Pennsylvania, licensed in Pennsylvania (390200000X) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1285567990

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATEO MARSHALL

Location Address4300 LONDONDERRY RDHarrisburg, PA 17109-5317

Mailing Address3600 Forbes AvePittsburgh, PA 15213-3410 · (412) 647-5815

Phone(717) 757-7458

Sole ProprietorNo

Enumeration DateJune 4, 2026

NPPES CertifiedJune 4, 2026

✔ NPI 1285567990 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

License✔ Licensed in PA · 390200000X

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.

4300 LONDONDERRY RD, Harrisburg, PA 17109

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