SAMUEL PARKER CONNELL
NPI 1013748706
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since August 13, 2024
525 VINE ST, WINSTON SALEM, NC 27101(336) 716-1411 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel Parker Connell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL PARKER CONNELL (NPI 1013748706) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1013748706
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL PARKER CONNELL
Location Address525 VINE STWinston Salem, NC 27101-4125
Mailing Address525 Vine StWinston Salem, NC 27101-4125 · (336) 716-1411
Sole ProprietorNo
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
NPI 1013748706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

525 VINE ST, Winston Salem, NC 27101

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Nurse Anesthetist, Certified Registered
525 VINE ST
WINSTON SALEM, NC 27101
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101
Student in an Organized Health Care Education/Training Program
525 VINE ST
WINSTON SALEM, NC 27101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013748706, enumerated as an "individual" on August 13, 2024.

The provider is located at 525 VINE ST WINSTON SALEM, NC 27101 and the phone number is (336) 716-1411.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.