Individual
KRISTIN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1900 ELECTRIC RD STE 1030, SALEM, VA 24153-7474
(540) 774-6000
Mailing address
1997 S MAIN ST, SUITE 704, BLACKSBURG, VA 24060-6635
(540) 961-1058
(540) 961-1668
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024167315
VA
367A00000X
Advanced Practice Midwife
167478
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024167315
—
VA
05
—
98482548
—
CO
Enumeration date
06/16/2006
Last updated
12/30/2019
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