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NPI Code Detail

MEDICARE: CAROLYN CONOVER NP

MEDICARE:   CAROLYN  CONOVER  NP
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
1163W00000XRegistered Nurse10045122OR
2363LP0808XPsychiatric/Mental Health Nurse PractitionerG184489IA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner889647NV
4163W00000XRegistered NurseRN70005089WA
5363LP0808XPsychiatric/Mental Health Nurse Practitioner407188NY
6163W00000XRegistered Nurse889647NV
7363LP0808XPsychiatric/Mental Health Nurse Practitioner10045122OR
8163W00000XRegistered Nurse184462IA
9163W00000XRegistered Nurse800158NY

General Provider Information

NPI Number : 1154145415
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN CONOVER NP
Provider Business Mailing Address
First Line : PO BOX 295
Second Line :
City : HUGHSONVILLE
State : NY
Zip : 12537-0295
Country : US
Telephone Number : 914-329-6239
Fax Number :
Provider Business Practice Location Address
First Line : 60 PROSPECT AVE
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-4133
Country : US
Telephone Number : 845-480-6678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2024
Last Update Date : 01/14/2026

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