MELVIN ENDERES ATC NPI 1710584792

NPI Information

  • NPI: 1710584792
  • Provider Name: MELVIN ENDERES, ATC
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 42678 FRONTIER DR
    BRAMBLETON, VA
    ZIP 20148
  • Phone: (571) 888-0852

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NPI Details

Melvin Enderes, ATC is a student in an organized health care education training program in Brambleton, VA. The provider is 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. Melvin Enderes, ATC NPI is 1710584792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

42678 FRONTIER DR
BRAMBLETON, VA
ZIP 20148-207
Phone: (571) 888-0852

The enumeration date for this NPI number is 10/2/2020 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerVIRGINIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramVIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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