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Individual

ALICIA CONRAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1 TAMPA GENERAL CIR STE E409, TAMPA, FL 33606-3571
(813) 404-0796
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6262

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9179050
FL
363LA2100X
Acute Care Nurse Practitioner
990246
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y092U
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/20/2006
Last updated
03/31/2021
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