Provider Demographics
NPI:1245776376
Name:CONNOR, TAMARA K (CRNP-FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:K
Last Name:CONNOR
Suffix:
Gender:F
Credentials:CRNP-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BERNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-9453
Mailing Address - Country:US
Mailing Address - Phone:610-378-2000
Mailing Address - Fax:610-378-2799
Practice Address - Street 1:108 PLAZA DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BLANDON
Practice Address - State:PA
Practice Address - Zip Code:19510-9475
Practice Address - Country:US
Practice Address - Phone:610-208-4650
Practice Address - Fax:610-916-2787
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0012371363LF0000X
DEL1-0071757163W00000X
PASP016924363LF0000X
MDR137407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse