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Individual

MS. LOU ANNE CONRAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
117 E STEUBEN ST, BATH, NY 14810-1636
(607) 776-3063
(607) 776-1011
Mailing address
22 PINE ST, WAYLAND, NY 14572-1044
(585) 728-5905

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F301369-1
NY
363LA2200X
Adult Health Nurse Practitioner
F301369-1
NY
363LW0102X
Women's Health Nurse Practitioner
F301369-1
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F301369-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122858CK
PREFERRED CARE PROVIDER #
NY
Enumeration date
09/20/2006
Last updated
09/11/2025
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