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Individual

EWA CONROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
20 RESEARCH PKWY, STE. C, OLD SAYBROOK, CT 06475-4214
(888) 344-4480
(860) 510-0020
Mailing address
3338 N MAIN ST, FALL RIVER, MA 02720-1609
(508) 676-5514

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
206747
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
206747
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0380130
MA
Enumeration date
03/24/2006
Last updated
08/21/2011
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