Provider Demographics
NPI:1568647303
Name:CONRAD, CHERYL ANGELINE (ARNP RN)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANGELINE
Last Name:CONRAD
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Gender:F
Credentials:ARNP RN
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:PEDIATRIC ALLERGY PULMONARY CLINIC
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-1828
Mailing Address - Fax:319-356-7776
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:PEDIATRIC ALLERGY PULMONARY CLINIC
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-1828
Practice Address - Fax:319-356-7776
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2012-04-05
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Provider Licenses
StateLicense IDTaxonomies
IAC060170363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics