Individual provider · Type 1 NPI

Caroline L. Connelly, FNP

Family Nurse Practitioner · Medford, OR

NPI number 1790093391 Active

Practice location

691 Murphy Rd, Suite 107
Medford, OR 97504-4346

Fax (541) 789-6461

Mailing address

2620 E Barnett Rd, Suite H
Medford, OR 97504-8344

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201050177NP (OR)
Nurse Practitioner 363L00000X201020177NP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1790093391

Caroline L. Connelly, FNP's National Provider Identifier is 1790093391, issued on Sep 16, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Medford, OR. The record was last updated on Oct 13, 2015.