Individual
PATRICIA ANN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(488) 980-6332
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-3369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704184443
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4599401
—
MI
01
—
500F318190
BCBSM
MI
Enumeration date
07/30/2006
Last updated
10/05/2022
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