Individual
SHIRLEY SUE CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5302 BUFFALO GAP RD, ABILENE, TX 79606-4246
(325) 307-6226
(325) 307-6294
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
830663
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP143057
TX
Other
Enumeration date
07/29/2019
Last updated
10/03/2022
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