Individual
DANIELLE CONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2205 GREENTREE N, CLARKSVILLE, IN 47129-8957
(812) 218-6560
(812) 288-2605
Mailing address
PO BOX 776351, CHICAGO, IL 60677-9459
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009331A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038590
—
IN
01
—
IN2570094
MEDICARE
IN
Enumeration date
09/09/2019
Last updated
04/02/2024
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