MEDICARE: CONNER DANIEL THURTELL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-16215	NC

General Provider Information

NPI Number	:	1467322776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNER DANIEL THURTELL PA

Provider Business Mailing Address
First Line	:	5003 OAK CT
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-3707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10039 UNIVERSITY CITY BLVD STE A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-3699
Country	:	US
Telephone Number	:	704-625-2594
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	01/26/2026

Similar Medicare Providers

1013721133 — CHRISTINA WILLIAMS
Practice Location Address:

10039 UNIVERSITY CITY BLVD STE A
CHARLOTTE, NC
28213-3699

Practice Phone: 704-625-2594
Practice Fax: 704-528-6283

1508745639 — FELICIA MARIE WOOD
Practice Location Address:

10039 UNIVERSITY CITY BLVD STE A
CHARLOTTE, NC
28213-3699

Practice Phone: 704-625-2594
Practice Fax:

1811865199 — SHANNON YOUNES
Practice Location Address:

10039 UNIVERSITY CITY BLVD STE A
CHARLOTTE, NC
28213-3699

Practice Phone: 704-625-2594
Practice Fax:

1639294382 — MRS. SARAH WHITESCARVER KOEHLER
Practice Location Address:

5110 PARK RD , SUITE 1-C
CHARLOTTE, NC
28209-3699

Practice Phone: 704-405-0155
Practice Fax:

1386831691 — MR. KEVIN A. MORAN
Practice Location Address:

5110 PARK RD , SUITE 1C
CHARLOTTE, NC
28209-3699

Practice Phone: 704-405-0155
Practice Fax: 704-523-5701

1891958070 — STATEN CHIROPRACTIC AND WELLNESS CENTER
Practice Location Address:

5110 PARK RD , SUITE 2A
CHARLOTTE, NC
28209-3699

Practice Phone: 704-771-6092
Practice Fax:

Directions to “ CONNER DANIEL THURTELL PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.