Connelly, Susan C

Connelly, Susan C is an individual health care provider with primary practice located at 988095 Nebraska Medical Ctr , Omaha NE 68198-8095. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Connelly, Susan C can be contacted via phone (402) 559-9800.

Contact Information

Primary practice address
988095 Nebraska Medical Ctr Omaha NE 68198-8095
Phone: (402) 559-9800
Fax: (402) 559-9840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 110239 Nebraska

Profile Details

NPI number 1427015742
LBN Legal business name Connelly, Susan C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1427015742 NPPES
Nebraska MEDICAID 47078557559

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