Provider Demographics
NPI:1215339304
Name:CONNORS, SIOBHAN (FNP)
Entity type:Individual
Prefix:
First Name:SIOBHAN
Middle Name:
Last Name:CONNORS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 TUDOR OVAL
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2245
Mailing Address - Country:US
Mailing Address - Phone:845-642-1575
Mailing Address - Fax:
Practice Address - Street 1:1900 RARITAN RD
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2963
Practice Address - Country:US
Practice Address - Phone:908-889-7780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338926-1363LF0000X
NJ26NJ01035500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily