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Individual
ANDREA KRISTIN CONNELLY
Active
Individual
ANDREA KRISTIN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
95003749
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95003749
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
95003749
CA
Other
Enumeration date
03/07/2016
Last updated
12/06/2017
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