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Contact Information

SUSAN M CONNER, CPNP
FAIRFAX ROAD AT VIRGINIA STREET
SALT LAKE CITY, UT84103-4399
 Phone: 801-536-3517
 Fax: 801-536-3549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN M CONNER · (Female)

NPI Number 1386845907
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 05/30/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 202925-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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