Individual
ELIZABETH ANN CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4522 ACACIA PL, SOUTH BEND, IN 46628-6193
(574) 360-1237
Mailing address
4522 ACACIA PL, SOUTH BEND, IN 46628-6193
(574) 360-1237
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06240441
IN
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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