MICHAEL CONNOR SELF RN NPI 1235844424

NPI Information

NPI: 1235844424
Provider Name: MICHAEL CONNOR SELF, RN
Classification: Registered Nurse - 163WE0003X
Entity Type: Individual

Specialization: Emergency

Address:
1255 HIGHWAY 54 W
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 719-7000
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Michael Connor Self, RN is an emergency registered nurse in Fayetteville, GA. Michael Connor Self, RN NPI is 1235844424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1255 HIGHWAY 54 W
FAYETTEVILLE, GA
ZIP 30214-526
Phone: (770) 719-7000

The enumeration date for this NPI number is 1/23/2023 and was last updated on 1/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	163WE0003X	Registered Nurse	Emergency	RN313506	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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