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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Mailing Address - Street 1:33 MEADOW CREEK LN
Mailing Address - Street 2:
Mailing Address - City:GLENMOORE
Mailing Address - State:PA
Mailing Address - Zip Code:19343-2017
Mailing Address - Country:US
Mailing Address - Phone:610-368-7430
Mailing Address - Fax:814-723-2483
Practice Address - Street 1:33 MEADOW CREEK LN
Practice Address - Street 2:
Practice Address - City:GLENMOORE
Practice Address - State:PA
Practice Address - Zip Code:19343-2017
Practice Address - Country:US
Practice Address - Phone:610-368-7430
Practice Address - Fax:814-723-2483
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0071757163W00000X
PASP016924363LF0000X
MDR137407363LF0000X
PASP016424363LF0000X
DELG-0012371363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse