IndividualActive
Gerard Connelly, PAC
NPI 1992774152 · Surgical Physician Assistant · N Las Vegas, NV
Provider details
- NPI number
- 1992774152
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA873 (NV)
Mailing address
3196 S Maryland Pkwy
Las Vegas, NV 89109
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.