Individual provider · Type 1 NPI

Connor Macleod Stephenson

Student in an Organized Health Care Education/Training Program · Reseda, CA

NPI number 1578080917 Active

Practice location

19231 Victory Blvd Ste 110
Reseda, CA 91335-6321

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 1578080917

Connor Macleod Stephenson's National Provider Identifier is 1578080917, issued on Aug 26, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Reseda, CA. The record was last updated on Jul 24, 2023.