Individual
CONNI NEVILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7610 CARROLL AVE, SUITE 400, TAKOMA PARK, MD 20912-6384
(301) 891-6841
Mailing address
9312 COLESVILLE RD, SUITE 400, SILVER SPRING, MD 20901-4818
(301) 467-0446
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R193200
MD
Other
Enumeration date
08/18/2014
Last updated
10/26/2016
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