Individual
ELISABETH H CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9113 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 559-7280
(804) 559-7282
Mailing address
9113 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 559-7280
(804) 559-7282
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024166028
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
09/27/2006
Last updated
07/21/2016
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