Individual provider · Type 1 NPI

Joan Mary Connelly, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1942494547 Active

Practice location

3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med
Philadelphia, PA 19104-4319

Fax (215) 590-4454

Mailing address

100 E Penn Sq, 9th Floor
Philadelphia, PA 19107-3323

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP008176 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1942494547

Joan Mary Connelly, CRNP's National Provider Identifier is 1942494547, issued on Aug 28, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 22, 2013.