Individual
STACIE R CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
305 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1900
(406) 563-7337
(406) 563-8338
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8500
(406) 563-8694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100302
MT
363LF0000X
Family Nurse Practitioner
RN23715
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100302
STATE LICENSE
MT
05
—
1508938505
—
MT
01
—
1508939505
NPI
MT
Enumeration date
11/16/2006
Last updated
02/06/2019
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