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Stephanie Gwenette Connor, LPN

Licensed Practical Nurse in Statesville, NC. Individual provider (NPI-1).

NPI number1407009673
StatusActive
Last updated in NPPESAug 1, 2013

Details

NPI
1407009673
Entity type
Individual (NPI-1)
Name
Stephanie Gwenette Connor
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 31, 2008
Last updated
Aug 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse28021NCYes

Practice location

524 Signal Hill Drive Ext
Statesville, NC 28625-4391

Phone 704-883-8637 · Fax 704-883-8638

Mailing address

524 Signal Hill Drive Ext
Statesville, NC 28625

Phone 704-883-8637 · Fax 704-883-8638

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