Conrad, Dianne M

Conrad, Dianne M is an individual health care provider with primary practice located at 8950 Professional Dr , Cadillac MI 49601-8599. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Conrad, Dianne M can be contacted via phone (231) 775-2493.

Contact Information

Primary practice address
8950 Professional Dr Cadillac MI 49601-8599
Phone: (231) 775-2493
Fax: (231) 775-2570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X DC143654 Michigan

Profile Details

NPI number 1699773374
LBN Legal business name Conrad, Dianne M
Credentials FNP, RN, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 17 years 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 1699773374 NPPES
Michigan MEDICAID 3334724
Michigan Other 0875256

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