CLARA ELLEN CONNOR


Address: 2200 Kernan Drive, James Lawrence Kernan Hospital, Baltimore, MD 21207
Phone: 4104486356

CLARA ELLEN CONNOR (NPI# 1356652721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356652721
Entity Type Individual
Full Name CLARA ELLEN CONNOR
Credential CRNP
Practice Address 2200 Kernan Drive
James Lawrence Kernan Hospital
Baltimore
MD 21207
Mailing Address 4275 Mary Ridge Drive
Randallstown
MD 21133
Practice Telephone 4104486356
Mailing Telephone 4109225329
Enumeration Date 2010-06-30
Last Update Date 2010-06-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R084508 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2200 KERNAN DRIVE
JAMES LAWRENCE KERNAN HOSPITAL
City BALTIMORE
State MD
Zip Code 21207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760426902 Peta-gay Jackson-booth Internal Medicine 2200 Kernan Drive, Baltimore, MD 21207 2006-06-16
1255733929 Randi Michelle Clary Physical Therapist 2200 Kernan Drive, Baltimore, MD 21207 2014-09-24
1609192822 Amy Bankard Physical Therapist 2200 Kernan Drive, Kernan Hospital, Baltimore, MD 21207 2010-04-13
1083840524 Jacob Wynes Podiatrist 2200 Kernan Drive, Baltimore, MD 21207 2009-06-10

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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