National Provider Identifier

Jodi Marie Conrad

Jodi Marie Conrad is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 461-8683.

NPI 1851424857Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1851424857
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 13, 2007
Last Updated
July 08, 2007

Practice Location

  • 620 Westfall RD
  • Rochester, NY 14620-4610

Phone: (585) 461-8683

Mailing Address

  • 2166 County Route 90
  • Wayland, NY 14572-9531

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1851424857
Entity Type
Individual
Last Name
Conrad
First Name
Jodi
Middle Name
Marie
Mailing Street Address
2166 County Route 90
Mailing City
Wayland
Mailing State
NY
Mailing ZIP Code
14572-9531
Mailing Country
US
Mailing Phone
(585) 728-2718
Practice Street Address
620 Westfall RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4610
Practice Country
US
Practice Phone
(585) 461-8683
Practice Fax
(585) 461-8545
Enumeration Date
March 13, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
Taxonomies
Licensed Practical Nurse (164W00000X)