Doctor Name: | STACIE R CONNORS |
NPI Number: | 1508939505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN23715 |
Business Practice Address: | 200 Main St Suite #4 Anaconda, MT - 597112200 |
Business Phone Number: | 4065637337 |
Business Fax Number: | 4065638338 |
Mailing Address: | 401 W Pennsylvania Ave, ANACONDA |
State: | MT |
Postal Code: | 597111931 |
Phone Number: | 4065637337 |
Fax Number: | 4065638338 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN23715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |