Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genivive Michelle Dastrup

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376416420

Genivive Michelle Dastrup is a Student in an Organized Health Care Education/Training Program in El Centro, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

202 N 8th St
El Centro, CA 92243-2302
Phone: (442) 265-1525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1376416420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address202 N 8th St, El Centro, CA 92243-2302

Other providers in El Centro