Connor, Amanda Nicole

Connor, Amanda Nicole is an individual health care provider with primary practice located at 601 5Th St S 306, St Petersburg FL 33701-4804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Connor, Amanda Nicole can be contacted via phone (727) 767-3779.

Contact Information

Primary practice address
601 5Th St S 306 St Petersburg FL 33701-4804
Phone: (727) 767-3779
Fax: (727) 767-4346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9106489 Florida

Profile Details

NPI number 1356609523
LBN Legal business name Connor, Amanda Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Apr 25th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356609523 NPPES
Other 11111 NONE

Popular Providers