Individual provider · Type 1 NPI

Mary Susan Conner, CPNP

Pediatric Nurse Practitioner · Springfield, MO

NPI number 1265572176 Active

Practice location

4331 S Fremont Ave
Springfield, MO 65804-7328

Fax (417) 820-5025

Mailing address

PO Box 2580
Springfield, MO 65801-2580

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X058838 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1265572176

Mary Susan Conner, CPNP's National Provider Identifier is 1265572176, issued on Feb 8, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Springfield, MO. The record was last updated on Jul 8, 2007.