Connolly, Katie S

Connolly, Katie S is an individual health care provider with primary practice located at 100 N Edinburgh Dr , Winter Park FL 32792-4125. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Connolly, Katie S can be contacted via phone (407) 645-5565.

Contact Information

Primary practice address
100 N Edinburgh Dr Winter Park FL 32792-4125
Phone: (407) 645-5565
Fax: (407) 647-1135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN9452496 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9452496 Florida

Profile Details

NPI number 1447642905
LBN Legal business name Connolly, Katie S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2015
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447642905 NPPES
Florida MEDICAID 020361500
Florida Other IX735Z

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