Mary Stone Connolly, RN

Individual provider Active NPI Registered Nurse · Tamc, HI

NPI 1164411872 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1164411872
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R048130 (MD)
Practice address
1 Jarrett White Rd
Tripler Army Medical Center
Tamc, HI 96859-5001
Phone
(808) 433-2460
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R048130MDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R048130 MD Yes

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center
Tamc, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center Attn: MCHK-QS
Tamc, HI 96859-5001
Phone (808) 433-2460

Other providers in Tamc, HI

All providers in Tamc, HI · Registered Nurse in Hawaii

Sources for this page

Verify at the official NPI Registry.