Provider Demographics
NPI:1508561804
Name:CONNELLY, ERIN ELIZABETH (PNP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:CONNELLY
Suffix:
Gender:F
Credentials:PNP
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Mailing Address - Street 1:WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-14
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-454-2694
Mailing Address - Fax:844-231-8913
Practice Address - Street 1:WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-14
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-454-2694
Practice Address - Fax:844-231-8913
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2025-07-02
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Provider Licenses
StateLicense IDTaxonomies
CA95023052363LP2300X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care