MRS. MARY CATHERINE CONNELLY BSN NPI 1154658698

NPI Information

NPI: 1154658698
Provider Name: MRS. MARY CATHERINE CONNELLY, BSN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
6001 W OUTER DR
SUITE 114
DETROIT, MI
ZIP 48235
Phone: (313) 966-9095
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MRS. Mary Catherine Connelly, BSN is a psychiatric/mental health and adult registered nurse in Detroit, MI. MRS. Mary Catherine Connelly, BSN NPI is 1154658698. 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:

6001 W OUTER DR
SUITE 114
DETROIT, MI
ZIP 48235-614
Phone: (313) 966-9095

The enumeration date for this NPI number is 11/4/2009 and was last updated on 11/30/2009.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	4704078229	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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