Individual
JOSHUA CONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2018007645
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2024019217
MO
Other
Enumeration date
03/19/2024
Last updated
05/14/2026
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