MARY SUSAN CONNER CPNP NPI 1265572176

NPI Information

NPI: 1265572176
Provider Name: MARY SUSAN CONNER, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4331 S FREMONT AVE
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-5000
Get Directions

Mary Susan Conner, CPNP is a pediatrics nurse practitioner in Springfield, MO. Mary Susan Conner, CPNP NPI is 1265572176. 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:

4331 S FREMONT AVE
SPRINGFIELD, MO
ZIP 65804-328
Phone: (417) 820-5000
Fax: (417) 820-5025

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/8/2007.

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	058838	MISSOURI	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	83416	OTHER	ARKANSAS	ARK BLUE SHIELD
2	205822	OTHER	MISSOURI	MO BLUE SHIELD

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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