Individual
LAURA KRISTIN CONREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3901 CENTRAL PIKE STE 352, HERMITAGE, TN 37076-3421
(615) 882-4000
(615) 882-4002
Mailing address
3901 CENTRAL PIKE STE 352, HERMITAGE, TN 37076-3421
(615) 882-4000
(615) 882-4002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1092
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11724090
CAQH
TN
05
—
3663898
—
TN
Enumeration date
07/11/2006
Last updated
01/31/2022
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