Provider Demographics
NPI:1891346011
Name:CONNOR, EIMY MARCH (PA-C)
Entity Type:Individual
Prefix:
First Name:EIMY
Middle Name:MARCH
Last Name:CONNOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:EIMY
Other - Middle Name:
Other - Last Name:MARCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1657 VETERAN AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5558
Mailing Address - Country:US
Mailing Address - Phone:786-650-5520
Mailing Address - Fax:
Practice Address - Street 1:1657 VETERAN AVE APT 301
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-5558
Practice Address - Country:US
Practice Address - Phone:785-650-5520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-28
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9112469363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant