Conners, Mary Victoria

Conners, Mary Victoria is an individual health care provider with primary practice located at 630 Broadway St , Madison IN 47250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Conners, Mary Victoria can be contacted via phone (812) 801-0338.

Contact Information

Primary practice address
630 Broadway St Madison IN 47250
Phone: (812) 801-0338
Fax: (812) 801-0777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001571A Indiana

Profile Details

NPI number 1013906163
LBN Legal business name Conners, Mary Victoria
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Feb 20th, 2019 - about 5 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 1013906163 NPPES
Indiana MEDICAID 200137600
Indiana Other 383332
Indiana MEDICAID 78014313
Indiana Other 7254710

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