Mary Susan Conner in Springfield - Pediatrics
Mary Susan Conner - NPI 1265572176
Mary Susan Conner is a Pediatrics in Springfield, Missouri. Mary Susan Conner practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Susan Conner is 1265572176. The last update date is 2007-07-08.
Mary Susan Conner's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620 and fax number 4178294316. The mailing address for Mary Susan Conner is Po Box 2580, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Susan Conner |
|---|---|
| Address | Po Box 2580, Springfield, Missouri |
| Phone Number | 4178294620 |
| Fax Number | 4178294316 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1265572176 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 2580 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658012580 |
| Phone Number | 4178294620 |
| Fax Number | 4178294316 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 58838 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83416 | AR | ARK BLUE SHIELD | |
| 205822 | MO | MO BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Susan Conner by the Centers for Medicare & Medicaid Services?
The Mary Susan Conner has been assigned the NPI (National Provider Identifier) 1265572176. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary Susan Conner is physically located?
The Mary Susan Conner is situated at the following address: Po Box 2580, Springfield, MO 658012580.
What is Mary Susan Conner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Susan Conner is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did the Mary Susan Conner receive its 1265572176 assignment from the Centers for Medicare & Medicaid Services?
The Mary Susan Conner was assigned its 1265572176 by the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the information related to Mary Susan Conner most recently updated or refreshed?
The details pertaining to the Mary Susan Conner, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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