Connell, Larissa

Connell, Larissa is an individual health care provider with primary practice located at 2376 Cypress Circle Ste 102, Conway SC 29526-8964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Connell, Larissa can be contacted via phone (843) 347-8953.

Contact Information

Primary practice address
2376 Cypress Circle Ste 102 Conway SC 29526-8964
Phone: (843) 347-8953
Fax: (843) 347-0226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18566 South Carolina

Profile Details

NPI number 1902235864
LBN Legal business name Connell, Larissa
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2013
Last updated Apr 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902235864 NPPES
South Carolina MEDICAID NP8763

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