Doctor Name: | PATRICIA CHRISTINE CONN |
NPI Number: | 1417046996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | NP-06702 |
Business Practice Address: | 16361 Village Pkwy Fredericktown, OH - 430199585 |
Business Phone Number: | 7406942110 |
Business Fax Number: | 7406942117 |
Mailing Address: | 6741 County Road 97, MOUNT GILEAD |
State: | OH |
Postal Code: | 433389644 |
Phone Number: | 4193627447 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP-06702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |