Individual provider · Type 1 NPI

Connor Wiest

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1760172431 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 793-2695 Map

Fax (401) 444-4165

Other practice locations

  • 750 E Adams St, Syracuse, NY 13210-2306 · (315) 464-5240

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 1760172431

Connor Wiest's National Provider Identifier is 1760172431, issued on May 8, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Mar 23, 2024.