Individual
ANDREA D CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGCNS-BC
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2519
Mailing address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
28185235A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28185235A
NURSING LICENSE
IN
Enumeration date
05/27/2021
Last updated
05/27/2021
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