Conrey, Laura Kristin

Conrey, Laura Kristin is an individual health care provider with primary practice located at 3901 Central Pike Ste 352 , Hermitage TN 37076-3421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Conrey, Laura Kristin can be contacted via phone (615) 882-4000.

Contact Information

Primary practice address
3901 Central Pike Ste 352 Hermitage TN 37076-3421
Fax: (615) 882-4002
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1092 Tennessee

Profile Details

NPI number 1205861929
LBN Legal business name Conrey, Laura Kristin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 31st, 2022 - about 2 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 1205861929 NPPES
Tennessee Other 11724090 CAQH
Tennessee MEDICAID 3663898 CAQH

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