Individual
PATRICIA CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 POLE LINE RD W STE 105&111, TWIN FALLS, ID 83301-5814
(208) 814-8000
(208) 814-3902
Mailing address
775 POLE LINE RD W STE 105&111, TWIN FALLS, ID 83301-5814
(208) 814-8000
(208) 814-3902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61194
ID
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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