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Individual

TERESA ROSALIE CONROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4140A LARAMIE ST, CHEYENNE, WY 82001-1969
(307) 637-2800
Mailing address
2550 N THUNDERBIRD CIR STE 303, MESA, AZ 85215-1219
(480) 353-2201

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R034518
SD
363LF0000X
Family Nurse Practitioner
Primary
44150
WY
363LF0000X
Family Nurse Practitioner
CP001061
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0140070
SD
05
5549050
SD
Enumeration date
12/18/2009
Last updated
11/10/2020
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