Provider Demographics
NPI:1639403959
Name:CONRAD, DAVID A (CRNP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:CONRAD
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 G AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070
Mailing Address - Country:US
Mailing Address - Phone:717-770-7281
Mailing Address - Fax:717-770-8484
Practice Address - Street 1:400 G AVE
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070
Practice Address - Country:US
Practice Address - Phone:717-770-7281
Practice Address - Fax:717-770-8484
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2136010OtherHIGHMARK BLUE SHIELD-WMG
MD956413OtherCAREFIRST MD BCBS
PA1586394OtherGATEWAY-WMG
MD956413OtherCAREFIRST MD BCBS
PA1586394OtherGATEWAY-WMG