Individual
LOUISA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9602 INDIGO CREEK BLVD, MURRELLS INLET, SC 29576-8610
(203) 554-4699
Mailing address
9602 INDIGO CREEK BLVD, MURRELLS INLET, SC 29576-8610
(203) 554-4699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233158R
SC
163W00000X
Registered Nurse
E29278
CT
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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