Individual
SHELLY MARIE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
900 PLAZA DR, MONTOURSVILLE, PA 17754-2448
(570) 368-3321
(570) 601-5875
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015543
PA
363LF0000X
Family Nurse Practitioner
22865
SC
363LF0000X
Family Nurse Practitioner
APRN 82589-NP-C
WV
363LF0000X
Family Nurse Practitioner
SP015543
PA
Other
Enumeration date
07/18/2015
Last updated
06/20/2024
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