National Provider Identifier

Taylor Conrad

Taylor Conrad is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (315) 945-3310.

NPI 1417595778Geneva, NYLicensed Practical Nurse

Profile Overview

NPI
1417595778
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 18, 2019
Last Updated
December 18, 2019

Practice Location

  • 20 Bay View Ter
  • Geneva, NY 14456-9768

Phone: (315) 945-3310

Mailing Address

  • 54 Center St
  • Geneva, NY 14456-1752

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1417595778
Entity Type
Individual
Last Name
Conrad
First Name
Taylor
Mailing Street Address
54 Center St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-1752
Mailing Country
US
Practice Street Address
20 Bay View Ter
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-9768
Practice Country
US
Practice Phone
(315) 945-3310
Enumeration Date
December 18, 2019
Last Updated
December 18, 2019
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
December 18, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)