Individual provider · Type 1 NPI

Connor Wakefield

Student in an Organized Health Care Education/Training Program · Nellis Afb, NV

NPI number 1447814850 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X0101276689 (VA)
General Practice Physician 208D00000X0101276689 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000X0101276689 (VA)

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 1447814850

Connor Wakefield's National Provider Identifier is 1447814850, issued on May 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nellis Afb, NV. The record was last updated on Mar 16, 2026.