Mary Susan Conner, CPNP
Nurse Practitioner, Pediatrics in Springfield, MO. Individual provider (NPI-1).
NPI number1265572176
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265572176
- Entity type
- Individual (NPI-1)
- Name
- Mary Susan Conner
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 058838 | MO | Yes |
Practice location
4331 S Fremont AveSpringfield, MO 65804-7328
Phone 417-820-5000 · Fax 417-820-5025
Mailing address
Po Box 2580Springfield, MO 65801-2580
Phone 417-829-4620 · Fax 417-829-4316
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