MS. MADELYNN DAUTEL AA - NPI 1558287441 - Student in an Organized Health Care Education/Training Program in Saint Louis, MO

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 Ms. Madelynn Dautel Aa NPPES

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

MS. MADELYNN DAUTEL AA (NPI 1558287441) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1558287441

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMS. MADELYNN DAUTELCredential: AA

Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221

Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 386-7679

Phone(636) 386-9224

Fax(636) 386-7679

Sole ProprietorNo

Enumeration DateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1558287441 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.

615 S NEW BALLAS RD, Saint Louis, MO 63141

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