Individual
HOLLY CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1130 TIMBER RIDGE DR, LENOIR CITY, TN 37771-7642
(504) 352-7219
Mailing address
1130 TIMBER RIDGE DR, LENOIR CITY, TN 37771-7642
(504) 352-7219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11694
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100049791
PHP TENNCARE
TN
05
—
3635913
—
TN
01
—
4114312
BLUE CROSS
TN
01
—
P00277458
MEDICARE TRAVELERS
TN
Enumeration date
05/31/2006
Last updated
04/02/2013
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