Individual
AUDREY CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
16924 FOOTHILL AVE APT 3, EAGLE RIVER, AK 99577-8298
(307) 761-2043
Mailing address
16924 FOOTHILL AVE APT 3, EAGLE RIVER, AK 99577-8298
(907) 382-1420
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86100931
AK
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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