| Doctor Name: | MARIE T CONNER |
| NPI Number: | 1326334087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS-BC |
| License Number: | 2010009924 |
| Business Practice Address: | 1301 Industrial Pkwy E El Dorado Springs, MO - 647446263 |
| Business Phone Number: | 4174481021 |
| Business Fax Number: | 4178761069 |
| Mailing Address: | 1301 Industrial Pkwy E, EL DORADO SPRINGS |
| State: | MO |
| Postal Code: | 647446263 |
| Phone Number: | 4174481021 |
| Fax Number: | 4178761069 |
| NPI Enumeration Date: | 06/21/2011 |
| NPI Last Update Date: | 06/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | 2010009924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |