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Mary Susan Conner, CPNP
Pediatric Nurse Practitioner in Springfield, Missouri
NPI 1265572176

Mary Susan Conner is a Pediatric Nurse Practitioner based in Springfield, MO and is specialized in Pediatrics. Mary Susan Conner practices in Springfield, MO and has the professional credentials of CPNP. The NPI Number for Mary Susan Conner is 1265572176 and holds a License No. 058838 (Missouri).

The current practice location address for Mary Susan Conner is 4331 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-5000 and via fax at 417-820-5025.

Location: 4331 S Fremont Ave, Springfield, MO, 65801-2580
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Provider Profile Details
NPI Number
1265572176
Provider Name
Mary Susan Conner
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
4331 S Fremont Ave, Springfield, MO, 65801-2580
Phone Number
417-820-5000
Fax Number
417-820-5025
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83416 01 AR ARK BLUE SHIELD
205822 01 MO MO BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4331 S Fremont Ave
City
State
Zip
65804-7328
Phone Number
417-820-5000
Fax Number
417-820-5025
person
Provider Business Mailing Address Details
Address
4331 S Fremont Ave
City
State
Zip
65804-7328
Phone Number
417-820-5000
Fax Number
417-820-5025
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
058838 (Missouri)
Definition
Definition to come...
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