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Individual

LAUREN CONNELLY

Active
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Individual

LAUREN CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0024179439
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024179439
NURSE PRACTITIONER LICENSE NUMBER
VA
01
2020007827
AMERICAN NURSES CREDENTIALING CENTER
Enumeration date
07/15/2020
Last updated
03/15/2025
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