Individual
CHLOE ELIZABETH CONDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3685 N 129TH ST, OMAHA, NE 68164-5211
(402) 559-0220
Mailing address
3685 N 129TH ST, OMAHA, NE 68164-5211
(025) 590-2204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720751803
—
NE
Enumeration date
07/26/2021
Last updated
08/09/2022
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