Connor, Holly

Connor, Holly is an individual health care provider with primary practice located at 1130 Timber Ridge Dr , Lenoir City TN 37771-7642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Connor, Holly can be contacted via phone (504) 352-7219.

Contact Information

Primary practice address
1130 Timber Ridge Dr Lenoir City TN 37771-7642
Phone: (504) 352-7219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11694 Tennessee

Profile Details

NPI number 1013954932
LBN Legal business name Connor, Holly
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 2nd, 2013 - about 12 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 1013954932 NPPES
Tennessee Other 100049791 PHP TENNCARE
Tennessee Other 4114312 PHP TENNCARE
Tennessee MEDICAID 3635913 PHP TENNCARE
Tennessee Other 4114312 PHP TENNCARE
Tennessee Other P00277458 PHP TENNCARE

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