Doctor Name: | DARCY H CONNELLY |
NPI Number: | 1235134594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 11811 |
Business Practice Address: | 110 Jefferson St West Union, IA - 521751022 |
Business Phone Number: | 5634223817 |
Business Fax Number: | |
Mailing Address: | 1836 South Ave, LA CROSSE |
State: | WI |
Postal Code: | 546015429 |
Phone Number: | 6087827300 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 06/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 11811 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |