Individual provider · Type 1 NPI

Connor Rolland Sampson

Student in an Organized Health Care Education/Training Program · North Adams, MA

NPI number 1366091969 Active

Practice location

375 Church St
North Adams, MA 01247-4124

Mailing address

470 Shea St
Fitchburg, MA 01420-4854

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1366091969

Connor Rolland Sampson's National Provider Identifier is 1366091969, issued on Sep 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Adams, MA. The record was last updated on Sep 5, 2019.