MARY CONRAD (NPI# 1407858509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407858509 |
| Entity Type | Individual |
| Full Name | MARY CONRAD |
| Credential | WHNP |
| Practice Address |
805 River Rd Dover DE 19901-3753 |
| Mailing Address |
932 Shank Rd Dover DE 19904-6823 |
| Practice Telephone | 3027394728 |
| Practice Fax Number | 3027397735 |
| Mailing Telephone | 3027394728 |
| Mailing Fax Number | 3027397735 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
LH0000134 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
UP004281G | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013324961 | Mary M Conrad | Speech-Language Pathologist | 7063 Hokes Rd, Glen Rock, PA 17327-8862 | 2014-07-11 |
| 1750942587 | Mary Alanna Conrad | Nurse Practitioner | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2019-06-24 |
| 1386882926 | Mary G. Conrad | Nurse Practitioner | 2201 Forest Ln, Garland, TX 75042-7957 | 2009-02-03 |
| 1134212848 | Mary B Conrad | Nurse Practitioner | 3901 Rainbow Blvd, Dept of Internal Medicine, Kansas City, KS 66160 | 2006-10-02 |
| Street Address |
805 RIVER RD |
| City | DOVER |
| State | DE |
| Zip Code | 19901-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693415 | Erik Gumbs | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2019-11-13 |
| 1770098402 | Kathleen Louise Joiner-martin | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2017-12-04 |
| 1326171067 | Hee Soon Lee | Clinic/Center | 805 River Rd, Dover, DE 19901-3753 | 2007-03-13 |
| 1356495725 | Kimberly Jane Ross-tilley | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2007-01-23 |
| 1629120787 | Matilde Cruz | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2007-01-17 |
| 1811910763 | David Sibley | Psychiatry & Neurology | 805 River Rd, Dover, DE 19901-3753 | 2006-07-25 |
| 1104871920 | State of Delaware | Clinic/Center | 805 River Rd, Dover, DE 19901-3753 | 2006-05-23 |
| 1033197843 | Lisa Anne Wullschleger | Nurse Practitioner | 805 River Rd, Kent County Public Health Family Planning, Dover, DE 19901 | 2006-01-03 |
| 1467453977 | Peggy Brassell Judd | Licensed Practical Nurse | 805 River Rd, Kchu/fp, Dover, DE 19901-3753 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578721999 | Jacqueline Reyes | Nurse Practitioner | 21 N Linden Pl, Dover, NJ 07801-4851 | 2008-06-02 |
| 1982826533 | Cathleen Michalowski | Nurse Practitioner | 165 Commerce Way Ste 2, Dover, DE 19904-8224 | 2007-05-03 |
| 1427697192 | Annie D Kearns | Nurse Practitioner | 1060 S Governors Ave Ste 102, Dover, DE 19904-6920 | 2019-12-30 |
| 1346696150 | Emily Skinner | Nurse Practitioner | 700 Central Ave, Dover, NH 03820-6434 | 2016-05-11 |
| 1689033631 | Meghan Elizabeth Miller | Nurse Practitioner | 200 Banning St, Suite 320, Dover, DE 19904-3485 | 2016-02-18 |
| 1245514140 | Nancy Lynn Baron Welch | Nurse Practitioner | 1113 S State St, Dover, DE 19901-4112 | 2011-10-11 |
| 1275821290 | Shanita Webb | Nurse Practitioner | 300 Tuskegee Blvd, Dover Afb, Dover, DE 19902-5003 | 2011-07-11 |
| 1356495725 | Kimberly Jane Ross-tilley | Nurse Practitioner | 805 River Rd, Dover, DE 19901-3753 | 2007-01-23 |
| 1952484321 | Susan Marie Lahaie | Nurse Practitioner | 805 S Governors Ave, Dover, DE 19904-4158 | 2006-10-21 |
| 1467439141 | Jacqueline Darden Allen | Nurse Practitioner | 144 Pine St, Dover, DE 19901-4454 | 2005-12-23 |
| Find all providers in DOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.