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Individual

MR. MICHAEL ALBERT CONNOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
7575 E EARLL DR, SCOTTSDALE, AZ 85251-6915
(480) 941-7611
(480) 941-7641
Mailing address
6423 E ENCANTO ST, MESA, AZ 85205-6041
(480) 699-2027

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN063569
AZ
163WI0600X
Infection Control Registered Nurse
RN063569
AZ
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN063569
AZ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN063569
AZ

Other

Enumeration date
08/17/2006
Last updated
09/11/2025
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