Individual
AMBER RANEE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0711
Mailing address
2119 HANOVER AVE NW, ROANOKE, VA 24017-6207
(910) 568-9495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04671
NC
363A00000X
Physician Assistant
0110-004456
VA
Other
Enumeration date
01/21/2014
Last updated
03/25/2024
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