Individual
ANGELA M CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-7158
Mailing address
651 COLLEY AVE, NORFOLK, VA 23507-1627
(757) 446-7279
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002090
VA
Other
Enumeration date
09/05/2006
Last updated
01/24/2023
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