Provider / Organization | NPI | Date Certified |
---|---|---|
TIARA MARIE CONNOR | 1881322022 | 2022-08-14 |
Tiara Marie Connor is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881322022. Registration indicates Tiara Marie Connor is a provider of services with a specialization in Nursing Service Providers, Licensed Practical Nurse (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Ms. Tiara Marie Connor |
Practice Office Address | 1806 W GENESEE ST APT 1 SYRACUSE, NY US |
Practice Office Telephone | 3152784319 |
Mailing Address | 1806 W GENESEE ST APT 1 SYRACUSE, NY 132041884 US |
Business Telephone | 3152784319 |
Code | Practice | License No State |
---|---|---|
164W00000X PRIMARY | Nursing Service Providers Licensed Practical Nurse Licensed Practical Nurse Licensed Practical Nurse Nursing Service Providers | 31037701
NY |