Individual
PAYTON CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 MALY BLVD, WAHOO, NE 68066-4149
(630) 397-1572
Mailing address
4411 WILLIAM ST, OMAHA, NE 68105-1758
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
91778
NE
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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