Susan K Conrad in S Pasadena - Nurse Practitioner

Susan K Conrad - NPI 1275739880

Susan K Conrad is a Nurse Practitioner in S Pasadena, Florida. Susan K Conrad practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan K Conrad is 1275739880. The last update date is 2012-10-11.

Susan K Conrad's current location address is 1615 Pasadena Ave S, S Pasadena, Florida. You can contact this provider via phone number 7274903030 and fax number 7273846167. The mailing address for Susan K Conrad is 1615 Pasadena Ave S, S Pasadena, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan K Conrad
Address 1615 Pasadena Ave S, S Pasadena, Florida
Phone Number 7274903030
Fax Number 7273846167
Sole Proprietor Y
Credentials ARNP

NPI Number Detail

NPI Number 1275739880
Provider Enumeration Date 2007-06-21
Last Updated Date 2012-10-11

Provider Mailing Address Detail

Address 1615 Pasadena Ave S
City S Pasadena
State Florida (FL)
Post Code 337074516
Phone Number 7274903030
Fax Number 7273846167

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No ARNP739662
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ARNP 739662 FL LICENSE

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FAQs about Susan K Conrad

What is the unique 10-digit identification code issued to Susan K Conrad by the Centers for Medicare & Medicaid Services?

The Susan K Conrad has been assigned the NPI (National Provider Identifier) 1275739880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Susan K Conrad's physical address?

The Susan K Conrad is physically located at 1615 Pasadena Ave S, in the city of S Pasadena, FL, with the postal code 337074516.

What is Susan K Conrad's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susan K Conrad is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1275739880 to Susan K Conrad?

The Centers for Medicare & Medicaid Services originally issued the 1275739880 to Susan K Conrad on 2007-06-21.

When was the information regarding Susan K Conrad most recently updated?

The details pertaining to the Susan K Conrad, including its address, specialty, and other relevant information, were last refreshed on 2012-10-11.

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