MI'ELLI SHADAE CAVINS
NPI 1649015280
Student in an Organized Health Care Education/Training Program in Flagstaff, AZ

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.

Active since June 26, 2024

208 E PINE KNOLL DR, FLAGSTAFF, AZ 86011(928) 523-5122 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mi'elli Shadae Cavins NPPES

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

MI'ELLI SHADAE CAVINS (NPI 1649015280) is an individual student in an organized health care education/training program in Flagstaff, Arizona and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1649015280

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMI'ELLI SHADAE CAVINS

Location Address208 E PINE KNOLL DRFlagstaff, AZ 86011-0001

Mailing Address208 E Pine Knoll DrFlagstaff, AZ 86011-0001 · (928) 523-5122

Phone(928) 523-5122

Sole ProprietorNo

Enumeration DateJune 26, 2024

NPPES CertifiedJune 26, 2024

✔ NPI 1649015280 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.

208 E PINE KNOLL DR, Flagstaff, AZ 86011

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