Individual provider · Type 1 NPI
Conni Nevills, CRNP
Pediatric Nurse Practitioner · Takoma Park, MD
NPI number
1255730131
Active
Practice location
7610 Carroll Ave, Suite 400
Takoma Park, MD 20912-6384
Mailing address
9312 Colesville Rd, Suite 400
Silver Spring, MD 20901-4818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R193200 (MD) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1255730131
Conni Nevills, CRNP's National Provider Identifier is 1255730131, issued on Aug 18, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Takoma Park, MD. The record was last updated on Oct 26, 2016.