Conwell, Phillip

Conwell, Phillip is an individual health care provider with primary practice located at 700 River Dr , Fort Bragg CA 95437-5403. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Nursing Service Providers / Registered Nurse is his primary health care specialty. Conwell, Phillip can be contacted via phone (707) 961-1234.

Contact Information

Primary practice address
700 River Dr Fort Bragg CA 95437-5403
Phone: (707) 961-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN405621 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1064 California

Profile Details

NPI number 1255540340
LBN Legal business name Conwell, Phillip
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Mar 18th, 2024 - about last year

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 1255540340 NPPES
California Other 1064 CALIFORNIA BOARD OF REGISTERED NURSING

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