Individual
TERRY LYNN CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7 RIVER RD UNIT 307, COS COB, CT 06807-2719
(914) 708-7222
Mailing address
1040 PARK AVE, NEW YORK, NY 10028-1032
(914) 708-7222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
001982
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
303950
NY
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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