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MINA RAE FAIRALL
NPI 1720920598
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since April 08, 2026
830 N UNIVERSITY AVE, ANN ARBOR, MI 48109(734) 764-1817 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mina Rae Fairall NPPES

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

MINA RAE FAIRALL (NPI 1720920598) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1720920598
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMINA RAE FAIRALL
Location Address830 N UNIVERSITY AVEAnn Arbor, MI 48109-1048
Mailing Address540 Thompson St, Munger Graduate Residences 1033Ann Arbor, MI 48104-2414 · (323) 401-0362
Phone(734) 764-1817
Sole ProprietorYes
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1720920598 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.
830 N UNIVERSITY AVE, Ann Arbor, MI 48109
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA GAHWYLER
Specialist/Technologist (Athletic Trainer)
830 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 647-1615
NICOLE BRACY
Student in an Organized Health Care Education/Training Program
830 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (757) 977-2511
MR. GENARO DAGAN FULLANO ATC
Specialist/Technologist (Athletic Trainer)
830 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (743) 610-9993

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mina Fairall's NPI number?

The NPI number for Mina Fairall is 1720920598. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Mina Fairall located?

Mina Fairall practices at 830 N University Ave, Ann Arbor, MI 48109. The listed phone number is (734) 764-1817.

What is Mina Fairall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mina Fairall was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.