Individual
ANGELYN M CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8111 DODGE ST STE 220, OMAHA, NE 68114-4117
(402) 354-1320
(402) 354-5965
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-5451
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
718
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025724800
—
NE
05
—
47068731707
—
NE
Enumeration date
08/01/2006
Last updated
02/28/2019
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