Individual
CONNOR WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101276689
VA
208D00000X
General Practice Physician
0101276689
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0101276689
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447814850
—
IL
Enumeration date
05/01/2019
Last updated
03/16/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us