Individual
BETHANY ELAINE CONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 GLENWOOD DR STE E490, CHATTANOOGA, TN 37404-1189
(423) 531-6104
(423) 531-6105
Mailing address
725 GLENWOOD DR STE E490, CHATTANOOGA, TN 37404-1189
(423) 531-6104
(423) 531-6105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18993
TN
Other
Enumeration date
08/08/2014
Last updated
10/30/2024
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