Individual
NANCY NMI MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3814 E 120TH AVE, THORNTON, CO 80233
(303) 452-2046
(303) 280-0942
Mailing address
3814 E 120TH AVE, THORNTON, CO 80233
(303) 452-2046
(303) 280-0942
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
331
CO
363AM0700X
Medical Physician Assistant
Primary
331
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331
COLORADO PA LICENSE
CO
05
—
89879848
—
CO
Enumeration date
04/06/2006
Last updated
10/08/2024
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