Individual
MRS. CONNIE RHOADES KILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
596 N FERDON BLVD, CRESTVIEW, FL 32536-2753
(850) 306-3268
(850) 398-5029
Mailing address
596 N FERDON BLVD, CRESTVIEW, FL 32536-2753
(850) 306-3268
(850) 398-5029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 1-085282
AL
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN2623762
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN2623762
FL
Other
Enumeration date
09/20/2010
Last updated
11/19/2025
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