Individual
DEVIN MARIE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10990 STATE ROUTE 61, MOUNT CARMEL, PA 17851-2575
(570) 554-9270
(570) 554-9271
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058416
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
Enumeration date
08/19/2016
Last updated
10/19/2020
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