IndividualActive
Carol Connelly, CNP
NPI 1609969245 · Pediatric Nurse Practitioner · Farmington, NM
Provider details
- NPI number
- 1609969245
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- R39967 (NM)
Practice location
407 S Schwartz Ave
Ste 102
Farmington, NM 87401-5925
Phone: (505) 609-6700
Fax: (505) 609-6701
Mailing address
Po Box 6210
Farmington, NM 87499-6210
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2013-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.