Individual
MATTHEW J MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
12635 W RUDASILL RD, TUCSON, AZ 85743-9724
(520) 682-3777
(520) 682-2333
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3837
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
570762
—
AZ
Enumeration date
11/04/2010
Last updated
07/20/2015
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