NPI 1902576739 · live from the CMS NPI Registry
Channon Conner, APRN
Nurse Practitioner, Pediatrics in New Haven, CT. National Provider Identifier 1902576739, active.
NPI record
| NPI | 1902576739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 428 Columbus Ave, New Haven, CT 06519 |
| Practice phone | 203-503-3000 |
| Mailing address | 86 Tanglewood Cir, Milford, CT 06461 |
| Enumerated | September 14, 2021 |
| Last updated | September 14, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 9919 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.