Individual
ANASTASIA CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
256741
AZ
163W00000X
Registered Nurse
95073525
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
1136805
TX
367500000X
Certified Registered Nurse Anesthetist
256741
AZ
Other
Enumeration date
08/20/2020
Last updated
06/08/2026
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