Individual
DIANNE M CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN, MSN
Contact information
Practice address
8950 PROFESSIONAL DR, CADILLAC, MI 49601-8599
(231) 775-2493
(231) 779-7701
Mailing address
8950 PROFESSIONAL DR, CADILLAC, MI 49601-8599
(231) 775-2493
(231) 775-2570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
DC143654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H376070
GROUP BCBS
MI
01
—
0875256
INDIVIDUAL BCBS
MI
05
—
3334724
—
MI
Enumeration date
07/07/2005
Last updated
03/05/2025
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