Connor, Corie L

Connor, Corie L is an individual health care provider with primary practice located at 8051 S Emerson Ave Ste 350 , Indianapolis IN 46237-8634. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Connor, Corie L can be contacted via phone (317) 859-1020.

Contact Information

Primary practice address
8051 S Emerson Ave Ste 350 Indianapolis IN 46237-8634
Phone: (317) 859-1020
Fax: (317) 859-4040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28162979A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71008080A Indiana

Profile Details

NPI number 1669980280
LBN Legal business name Connor, Corie L
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Mar 25th, 2021 - about 4 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 1669980280 NPPES
Indiana MEDICAID 300018116

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