Healthcare Provider Details

I. General information

NPI: 1508561804
Provider Name (Legal Business Name): ERIN ELIZABETH CONNELLY PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 08/06/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PL DIV PED ALLERGY/IMMUNO/PULMO
SAINT LOUIS MO
63110-1002
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-454-2694
  • Fax: 844-231-8913
Mailing address:
  • Phone: 314-454-2694
  • Fax: 844-231-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number2025016316
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: