Provider Demographics
NPI:1164741138
Name:CONNORS, SUNAH (ACNP-BC, MSN, CCRN)
Entity Type:Individual
Prefix:
First Name:SUNAH
Middle Name:
Last Name:CONNORS
Suffix:
Gender:F
Credentials:ACNP-BC, MSN, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 EXECUTIVE PARKWAY DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6336
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:999 EXECUTIVE PARKWAY DR
Practice Address - Street 2:SUITE 210
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6336
Practice Address - Country:US
Practice Address - Phone:800-591-8859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.009180363LA2100X
GA212127363LA2100X
SC4295363LA2100X
MO2010013698363LA2100X
FL9200053363LA2100X
VA24169410363LA2100X
NC5005037363LA2100X
IN71003385A363LA2100X
NE111213363LA2100X
NMCNP-01739363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care