| Doctor Name: | PAMELA M CONRY |
| NPI Number: | 1063540797 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | R50417 |
| Business Practice Address: | Pmg High Resort 4005 4005 High Resort Blvd Rio Rancho, NM - 87124 |
| Business Phone Number: | 5054626000 |
| Business Fax Number: | 5054628470 |
| Mailing Address: | Po Box 26666, Phs Provider Enrollment ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871256666 |
| Phone Number: | 5059235356 |
| Fax Number: | 5059235354 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 08/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SN0000X |
| License Number: | R50417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |