Individual
COURTNEY CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
851 TRAFALGAR CT, STE 200E, MAITLAND, FL 32751-7420
(407) 677-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9253544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001347300
—
FL
01
—
G002F
BCBS
FL
Enumeration date
08/18/2009
Last updated
05/28/2020
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