Individual
MELANIE A CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3830 E YODER RD, FORT WAYNE, IN 46819-9728
(260) 602-0393
Mailing address
3830 E YODER RD, FORT WAYNE, IN 46819-9728
(260) 602-0393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27060017A
IN
164W00000X
Licensed Practical Nurse
PN.127016-MEDS
OH
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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