Elise Kay Marvin Mather
Student in an Organized Health Care Education/Training Program in Winston Salem, NC. Individual provider (NPI-1).
NPI number1265327803
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1265327803
- Entity type
- Individual (NPI-1)
- Name
- Elise Kay Marvin Mather
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2025
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Other names
- Elise Kay Marvin (Former Name)
Practice location
525 Vine StWinston Salem, NC 27101-4125
Phone 336-716-1411
Mailing address
525 Vine StWinston Salem, NC 27101-4125
Phone 336-716-1411
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All 859 Student in an Organized Health Care Education/Training Program providers in Winston Salem · All 11,775 providers in Winston Salem
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