Doctor Name: | AMANDA CONNORS |
NPI Number: | 1023493947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP015122 |
Business Practice Address: | 508 S Church St Mount Pleasant, PA - 156661702 |
Business Phone Number: | 7245471500 |
Business Fax Number: | |
Mailing Address: | 412 Terrence Dr, CONNELLSVILLE |
State: | PA |
Postal Code: | 154251995 |
Phone Number: | 7249840382 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | SP015122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |