Individual
MS. SUSAN M. CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
FAIRFAX ROAD AT VIRGINIA STREET, SALT LAKE CITY, UT 84103-4399
(801) 536-3517
(801) 536-3549
Mailing address
3752 MOUNTAIN VALLEY WAY, SANDY, UT 84092-6059
(801) 536-3517
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202925-4405
UT
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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