Provider Demographics
NPI:1245823293
Name:CONNERS, NANCY L
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:CONNERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-8764
Mailing Address - Country:US
Mailing Address - Phone:304-292-5672
Mailing Address - Fax:
Practice Address - Street 1:1000 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-8764
Practice Address - Country:US
Practice Address - Phone:304-292-5672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker