CAROL CONNELLY CNP NPI 1609969245

NPI Information

NPI: 1609969245
Provider Name: CAROL CONNELLY, CNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
407 S SCHWARTZ AVE
STE 102
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-6700
Get Directions

Carol Connelly, CNP is a pediatrics nurse practitioner in Farmington, NM. Carol Connelly, CNP NPI is 1609969245. 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:

407 S SCHWARTZ AVE
STE 102
FARMINGTON, NM
ZIP 87401-925
Phone: (505) 609-6700
Fax: (505) 609-6701

The enumeration date for this NPI number is 10/2/2006 and was last updated on 4/10/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	R39967	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000Z0447	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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