Individual
SUSAN E CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1615
(319) 356-8443
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1615
(319) 356-8443
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C177394
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841442944
—
WI
Enumeration date
10/21/2008
Last updated
05/02/2024
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