Individual
MRS. CONNIE HODGES - MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 231-5062
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 231-5062
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
53-75726-061
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
75726
KS
Other
Enumeration date
06/11/2014
Last updated
12/07/2015
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