Individual
NICOLE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
759 SUSQUEHANNA TRL, WATSONTOWN, PA 17777-8109
(570) 428-9504
Mailing address
759 SUSQUEHANNA TRL, WATSONTOWN, PA 17777-8109
(570) 428-9504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN289560
PA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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