Individual
MR. COLIN L CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., MS, PNP-BC,CNS
Contact information
Practice address
1920 E CAMBRIDGE AVE, SUITE 301, PHOENIX, AZ 85006-1459
(602) 689-8684
(602) 256-2878
Mailing address
1920 E CAMBRIDGE AVE STE 301, PHOENIX, AZ 85006-1464
(602) 689-8684
(602) 256-2878
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP3833
AZ
364SP0200X
Pediatric Clinical Nurse Specialist
561332
TX
364SP0200X
Pediatric Clinical Nurse Specialist
RN052285
AZ
Other
Enumeration date
02/01/2007
Last updated
03/23/2012
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