Individual
KELSEY CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-8509
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-8509
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
779220
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
N383455
NY
Other
Enumeration date
03/09/2022
Last updated
04/03/2023
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