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NPI Code Detail

MEDICARE: JANET CONRAD NP-C

MEDICARE: JANET CONRAD NP-C
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
1163WG0000XGeneral Practice Registered Nurse0001194958VA
2363L00000XNurse Practitioner0024179645VA

General Provider Information

NPI Number : 1790310035
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET CONRAD NP-C
Provider Business Mailing Address
First Line : 8569 SUDLEY RD STE B
Second Line :
City : MANASSAS
State : VA
Zip : 20110-3866
Country : US
Telephone Number : 703-257-7749
Fax Number :
Provider Business Practice Location Address
First Line : 8569 SUDLEY RD STE B
Second Line :
City : MANASSAS
State : VA
Zip : 20110-3866
Country : US
Telephone Number : 703-257-7749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2020
Last Update Date : 11/10/2022

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Directions to “ JANET CONRAD NP-C” Practice Location

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