Doctor Name: | MS. CONNIE HALL STRONG |
NPI Number: | 1053398610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 2137244405 |
Business Practice Address: | 22 S State St Clearfield, UT - 840151043 |
Business Phone Number: | 8015254900 |
Business Fax Number: | 8013943693 |
Mailing Address: | 2240 Adams Ave, OGDEN |
State: | UT |
Postal Code: | 844011511 |
Phone Number: | 8013935355 |
Fax Number: | 8013944609 |
NPI Enumeration Date: | 12/26/2005 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 2137244405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |