Individual
JULIE M CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11725 N ILLINOIS ST STE 275, CARMEL, IN 46032-3009
(317) 688-4864
(317) 688-4884
Mailing address
950 N MERIDIAN ST STE 500, INDIANAPOLIS, IN 46204-3908
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28200380A
IN
Other
Enumeration date
01/30/2018
Last updated
01/08/2021
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