Provider Type Icon

ANDREA KRISTIN CONNELLY RN MSN CPNP-AC NPI 1326409152


NPI Information

NPI: 1326409152
Provider Name: ANDREA KRISTIN CONNELLY, RN, MSN, CPNP-AC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4650 W SUNSET BLVD
MAIL STOP 66
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-4148
Get Directions

Andrea Kristin Connelly, RN, MSN, CPNP-AC is a pediatrics nurse practitioner in Los Angeles, CA. Andrea Kristin Connelly, RN, MSN, CPNP-AC NPI is 1326409152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4650 W SUNSET BLVD
MAIL STOP 66
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-4148
Fax: (323) 361-3668

The enumeration date for this NPI number is 3/7/2016 and was last updated on 12/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0214XPediatricsPediatric Pulmonology95003749CALIFORNIANo
2363LP0200XNurse PractitionerPediatrics95003749CALIFORNIAYes
3363LP0222XNurse PractitionerPediatrics, Critical Care95003749CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.