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Christina Connelly, FNP-C
Family Nurse Practitioner in Portage, Indiana
NPI 1750739702

Christina Connelly is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Christina Connelly practices in Portage, IN and has the professional credentials of FNP-C. The NPI Number for Christina Connelly is 1750739702 and holds a License No. 71006279A (Indiana).

The current practice location address for Christina Connelly is 2640 Hamstrom Rd, Portage, IN and can be reached out via phone at 219-762-4423.

Location: 2640 Hamstrom Rd, Portage, IN, 46368-3832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750739702
Provider Name
Christina Connelly
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2640 Hamstrom Rd, Portage, IN, 46368-3832
Phone Number
219-762-4423
Fax Number
Provider Enumeration Date
06/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71006279B 01 IN CSR
71006279A 01 IN APN
institution
Provider Business Practice Location Address Details
Address
2640 Hamstrom Rd
City
Portage
State
Indiana
Zip
46368-3832
Phone Number
219-762-4423
Fax Number
person
Provider Business Mailing Address Details
Address
2640 Hamstrom Rd
City
Portage
State
Indiana
Zip
46368-3832
Phone Number
219-762-4423
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71006279A (Indiana)
Definition
Definition to come...
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