Individual
DR. NANCY CAMP CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
(425) 712-7903
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00048404
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
L&1
WA
01
—
6573CO
BLUE SHIELD #
WA
05
—
8512725
—
WA
Enumeration date
02/08/2006
Last updated
02/06/2019
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