Provider Demographics
NPI:1699915082
Name:CONNOLLY, NONA A (RN)
Entity type:Individual
Prefix:MS
First Name:NONA
Middle Name:A
Last Name:CONNOLLY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:NONA
Other - Middle Name:A
Other - Last Name:ESKELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2448 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-3048
Mailing Address - Country:US
Mailing Address - Phone:256-683-4385
Mailing Address - Fax:
Practice Address - Street 1:500 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84148-0001
Practice Address - Country:US
Practice Address - Phone:801-582-1565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT225322-3102163W00000X
AL1-108373163W00000X
CATL841613163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse