Individual
RICHARD F CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNC, FNP
Contact information
Practice address
4261 BIG CREEK RD, HARTFORD, TN 37753-2220
(423) 487-2249
(423) 487-3707
Mailing address
4261 BIG CREEK RD, HARTFORD, TN 37753-2220
(423) 487-2249
(423) 487-3707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN90651
TN
363L00000X
Nurse Practitioner
Primary
APN6635
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011036
PHP TENNCARE
TN
01
—
3073336
BLUECARE-C.HILL
TN
05
—
3348042
—
TN
Enumeration date
01/26/2006
Last updated
02/07/2013
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