Individual
MRS. KATIE S CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9452496
FL
367A00000X
Advanced Practice Midwife
Primary
APRN9452496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020361500
—
FL
01
—
IX735Z
MEDICARE
FL
Enumeration date
02/20/2015
Last updated
07/13/2026
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