Individual
CRISTIN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4300
Mailing address
110 RUNNYMEADE DR, JACKSONVILLE, NC 28540-4241
(404) 702-2962
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
0001247879
VA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
APRN11003801
FL
Other
Enumeration date
12/21/2015
Last updated
09/17/2019
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