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NPI Code Detail

MEDICARE: LORAINE F KONRADY ARNP

MEDICARE: LORAINE F KONRADY ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerARNP2503232FL
2363LF0000XFamily Nurse PractitionerARNP2503232FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972523496
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORAINE F KONRADY ARNP
Provider Business Mailing Address
First Line : P.O. BOX 499
Second Line :
City : PARRISH
State : FL
Zip : 34219-0499
Country : US
Telephone Number : 941-708-7669
Fax Number : 941-708-8893
Provider Business Practice Location Address
First Line : 919 53RD AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-4801
Country : US
Telephone Number : 941-708-7669
Fax Number : 941-708-8893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 01/22/2013

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