Provider Demographics
NPI:1437173911
Name:INSLEY, CONNIE M (BS)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:M
Last Name:INSLEY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MRS
Other - First Name:CONNIE
Other - Middle Name:M
Other - Last Name:FLUHARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:2200 38TH AVE W APT 124
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-5080
Mailing Address - Country:US
Mailing Address - Phone:941-782-4100
Mailing Address - Fax:941-782-4101
Practice Address - Street 1:379 6TH AVENUE WEST
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205
Practice Address - Country:US
Practice Address - Phone:941-782-4251
Practice Address - Fax:941-782-4101
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator