Individual provider · Type 1 NPI

Andrea Kristin Connelly, RN, MSN, CPNP-AC

Pediatric Nurse Practitioner · Los Angeles, CA

NPI number 1326409152 Active

Practice location

4650 W Sunset Blvd, Mail Stop 66
Los Angeles, CA 90027-6062

Call (323) 361-4148 Map

Fax (323) 361-3668

Mailing address

3701 Wilshire Blvd Ste 600
Los Angeles, CA 90010-2814

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner 363LP0222X95003749 (CA)
Pediatric Nurse Practitioner Primary 363LP0200X95003749 (CA)
Pediatric Pulmonology Physician 2080P0214X95003749 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1326409152

Andrea Kristin Connelly, RN, MSN, CPNP-AC's National Provider Identifier is 1326409152, issued on Mar 7, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 6, 2017.