Individual
CAROLIN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-8067
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5102
(248) 338-5627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001227566
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024172838
VA
Other
Enumeration date
08/03/2015
Last updated
02/04/2019
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