Provider Demographics
NPI:1043632185
Name:CONNORS, MICHELLE A (PA-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:CONNORS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:500 SW 7TH ST STE A205
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2983
Mailing Address - Country:US
Mailing Address - Phone:406-248-3175
Mailing Address - Fax:406-248-3821
Practice Address - Street 1:1523 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4105
Practice Address - Country:US
Practice Address - Phone:406-248-3175
Practice Address - Fax:406-248-3821
Is Sole Proprietor?:No
Enumeration Date:2014-01-08
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT28686363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant