Individual
MARTE ELLEN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
803 S 2ND ST, FAIRFIELD, IA 52556-3608
(641) 919-2104
Mailing address
803 S 2ND ST, FAIRFIELD, IA 52556-3608
(641) 919-2104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
113005
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113005
RN
IA
Enumeration date
12/20/2020
Last updated
12/20/2020
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