Doctor Name: | DOLORES ANN CONROY |
NPI Number: | 1689618274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9242007 |
Business Practice Address: | 2475 Garrison Ave Port St Joe, FL - 324565265 |
Business Phone Number: | 8502271276 |
Business Fax Number: | 8502277587 |
Mailing Address: | 2475 Garrison Ave, PORT ST JOE |
State: | FL |
Postal Code: | 324565265 |
Phone Number: | 8502271276 |
Fax Number: | 8502277587 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9242007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |