Conrad, Nicole Denise

Conrad, Nicole Denise is an sole proprietor health care provider with primary practice located at 146 Orange Pl , Maitland FL 32751-6531. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Conrad, Nicole Denise can be contacted via phone (407) 389-2020.

Contact Information

Primary practice address
146 Orange Pl Maitland FL 32751-6531
Phone: (407) 389-2020
Fax: (407) 389-2021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9108943 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 018977 New York

Profile Details

NPI number 1942677612
LBN Legal business name Conrad, Nicole Denise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2015
Last updated Sep 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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