MARY SUSAN CONNER CPNP
NPI 1265572176
Nurse Practitioner - Pediatrics in Springfield, MO

Q: What is Mary Conner's NPI number?

The NPI number for Mary Conner is 1265572176. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Q: What is Mary Conner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Conner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 08, 2007

4331 S FREMONT AVE, SPRINGFIELD, MO 65804(417) 820-5000(417) 820-5025 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary Susan Conner Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SUSAN CONNER CPNP (NPI 1265572176) is an individual pediatrics provider in Springfield, Missouri, licensed in Missouri (058838) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1265572176

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARY SUSAN CONNERCredential: CPNP

Location Address4331 S FREMONT AVESpringfield, MO 65804-7328

Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316

Phone(417) 820-5000

Fax(417) 820-5025

Sole ProprietorNo

Enumeration DateFebruary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1265572176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 058838

4331 S FREMONT AVE, Springfield, MO 65804

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Other Identifiers 2

Other83416AR · Ark Blue Shield

Other205822MO · Mo Blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MITCHELL DEAN HAUSCHILDT MA, ATC, CSCS

Specialist/Technologist (Athletic Trainer)

4331 S FREMONT AVE, HEALTHTRACKS SPORTS TRAINING CENTER
SPRINGFIELD, MO 65804

Greene County (417) 820-5010

MISS NATASHA LYNN TIBBETTS ATC

Specialist/Technologist (Athletic Trainer)