Conrad, Elisabeth H

Conrad, Elisabeth H is an individual health care provider with primary practice located at 9113 Dickey Dr , Mechanicsville VA 23116-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Conrad, Elisabeth H can be contacted via phone (804) 559-7280.

Contact Information

Primary practice address
9113 Dickey Dr Mechanicsville VA 23116-2502
Phone: (804) 559-7280
Fax: (804) 559-7282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024166028 Virginia

Profile Details

NPI number 1336230515
LBN Legal business name Conrad, Elisabeth H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 21st, 2016 - about 9 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 1336230515 NPPES
Virginia Other C06115 GROUP PTAN

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