| Doctor Name: | TERRY LYNN CONRAD |
| NPI Number: | 1740418417 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 001982 |
| Business Practice Address: | 7 River Rd Unit 307 Cos Cob, CT - 068072719 |
| Business Phone Number: | 9147087222 |
| Business Fax Number: | |
| Mailing Address: | 1040 Park Ave, NEW YORK |
| State: | NY |
| Postal Code: | 100281032 |
| Phone Number: | 9147087222 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2009 |
| NPI Last Update Date: | 07/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 001982 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |