Connelly, Nicole

Connelly, Nicole is an individual health care provider with primary practice located at 4200 Regent St Ste 200 , Columbus OH 43219-6229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Connelly, Nicole can be contacted via phone (877) 870-1775.

Contact Information

Primary practice address
4200 Regent St Ste 200 Columbus OH 43219-6229
Phone: (877) 870-1775
Fax: (614) 968-8840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024176013 Virginia

Profile Details

NPI number 1083101489
LBN Legal business name Connelly, Nicole
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2018
Last updated Mar 31st, 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 1083101489 NPPES
Virginia MEDICAID 30015380170003
Virginia MEDICAID 1457344962

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