Individual
STEPHANIE ANN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1524 ATWOOD AVE STE 220, JOHNSTON, RI 02919-3278
(401) 272-1900
(401) 453-3049
Mailing address
1524 ATWOOD AVE STE 220, JOHNSTON, RI 02919-3288
(401) 272-1900
(401) 453-3049
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN02977
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN02977
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN02977
RI
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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