Individual
MRS. CONNIE LOU CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
162 GROVE ST STE J, BISHOP, CA 93514-2652
(760) 873-6533
Mailing address
162 GROVE ST STE J, BISHOP, CA 93514-2652
(760) 873-6533
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
815310
CA
163WP2201X
Ambulatory Care Registered Nurse
68232
CO
Other
Enumeration date
12/29/2007
Last updated
06/21/2016
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