IndividualActive
Autumn Sergey
NPI 1922939438 · Student in an Organized Health Care Education/Training Program · Moscow, ID
Provider details
- NPI number
- 1922939438
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 885-6111
Approximate (ZIP-level) locationGet directions
Mailing address
1850 Sunshine Dr
Concord, CA 94520-4071
Registry dates
- Enumerated
- 2026-05-26
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.