Andrea Kristin Connelly
Pediatric Pulmonologist Nurse Practitioner - Pediatrics Nurse Practitioner Pediatrics (Critical Care)
4650 W Sunset Blvd Mail Stop 66
Los Angeles
, California 90027-6062
Andrea Kristin Connelly
Pediatric Pulmonologist Nurse Practitioner - Pediatrics Nurse Practitioner Pediatrics (Critical Care)
4650 W Sunset Blvd Mail Stop 66
Los Angeles
, California 90027-6062
(323) 361-8052
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About
Features
Specialties
- Pediatric Pulmonologist
- Nurse Practitioner - Pediatrics
- Nurse Practitioner Pediatrics (Critical Care)
Languages spoken
- English
Location
First Address
- Andrea Kristin Connelly
- 3701 Wilshire Blvd Ste 600
- Los Angeles, CA
- Zip : 90010-2814
- Fax : (323) 361-8052
- Phone : (323) 361-3550
Second Address
- Andrea Kristin Connelly
- 4650 W Sunset Blvd Mail Stop 66
- Los Angeles, CA
- Zip : 90027-6062
- Fax : (323) 361-3668
- Phone : (323) 361-4148
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0214X | Pediatric Pulmonologist | 95003749 | CA |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 95003749 | CA |
| N | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | 95003749 | CA |
National Provider Identifier
| NPI | 1326409152 |
|---|---|
| Provider Name | Andrea Kristin Connelly |
| First Address | Los Angeles, CA 90010-2814 |
| Second Address | Los Angeles, CA 90027-6062 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2016 |
| Last Update Date | 06/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.