| Doctor Name: | SHELLY CONNER |
| NPI Number: | 1114301165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | APRN 82589-NP-C |
| Business Practice Address: | 900 Plaza Dr Montoursville, PA - 177542448 |
| Business Phone Number: | 5703683321 |
| Business Fax Number: | 5706018542 |
| Mailing Address: | 1201 Grampian Blvd, WILLIAMSPORT |
| State: | PA |
| Postal Code: | 177011900 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2015 |
| NPI Last Update Date: | 05/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN 82589-NP-C |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |