IndividualActive
Levi Destafano
NPI 1497617815 · Electroneurodiagnostic Specialist/Technologist · Auburn, AL
Provider details
- NPI number
- 1497617815
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
20000 E Fort Mcpherson Rd
Maxwell, NE 69151-1032
Registry dates
- Enumerated
- 2025-11-25
- Last updated
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.