Doctor Name: | MS. SANDRA LYNN CONNOR |
NPI Number: | 1003811597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN FNP |
License Number: | 581938 |
Business Practice Address: | 1635 W Division St Arlington, TX - 760123810 |
Business Phone Number: | 8172740097 |
Business Fax Number: | 8172740327 |
Mailing Address: | 1635 W Division St, ARLINGTON |
State: | TX |
Postal Code: | 760123810 |
Phone Number: | 8172740097 |
Fax Number: | 8172740327 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 581938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |