# ALICIA CONRAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174577605
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP9179050 | FL | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 990246 | CO | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 03/31/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Y092U | BLUE CROSS BLUE SHIELD | FL |