Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 5010822 | NC |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 5010822 | NC |
NPI | 1003395559 |
---|---|
Provider Name | Dr. Mary Heath Conner |
First Address | Arden, NC 28704-5538 |
Second Address | Asheville, NC 28805-2576 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2018 |
Last Update Date | 07/08/2018 |