Individual
MRS. SHERRY ANN CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN105920
AZ
163WR0006X
Registered Nurse First Assistant
Primary
603602
TX
163WR0006X
Registered Nurse First Assistant
RN105920
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0145330
BCBS
AZ
Enumeration date
08/14/2006
Last updated
11/08/2011
Update your record
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