Individual provider · Type 1 NPI

Evlyn Samuel

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1154267482 Active

Practice location

777 Bannock St
Denver, CO 80204-4597

Mailing address

15503 E Prentice Dr
Centennial, CO 80015-4264

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Family Medicine Physician 207Q00000XTL.0011515 (CO)

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1154267482

Evlyn Samuel's National Provider Identifier is 1154267482, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Oct 22, 2026.