Individual
MR. DONALD H. CONRAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00123757
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004854
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9635335
—
WA
Enumeration date
08/16/2006
Last updated
03/23/2015
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