Individual
MS. POLLY KAY CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., P.N.P
Contact information
Practice address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945
(530) 274-9762
(530) 273-0698
Mailing address
10644 JAMES LN, NEVADA CITY, CA 95959-3408
(530) 613-3116
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
14104
CA
Other
Enumeration date
09/12/2012
Last updated
08/29/2018
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