Individual provider · Type 1 NPI
Allegra Rose Connors
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1295231397
Active
Practice location
1220 S Wood St
Chicago, IL 60608-1202
Mailing address
PO Box 13129
Salem, OR 97309-1129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209019679 (IL) |
| Nurse Practitioner | 363L00000X | 201802531NP-PP (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201802531NP-PP (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209019679 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295231397
Allegra Rose Connors's National Provider Identifier is 1295231397, issued on Apr 5, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Apr 22, 2021.