Individual
MELISSA MEGHAN CONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9650
(860) 545-9214
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2305787
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2305787
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119073A
—
MA
01
—
S400344616
MEDICARE
MA
Enumeration date
08/12/2016
Last updated
09/09/2022
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