Provider Demographics
NPI:1689731895
Name:CONREY, ANNA KOKKALIS (MSN, RN, CCRN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:KOKKALIS
Last Name:CONREY
Suffix:
Gender:F
Credentials:MSN, RN, CCRN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 KOJUN CT
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-5533
Mailing Address - Country:US
Mailing Address - Phone:732-644-7820
Mailing Address - Fax:
Practice Address - Street 1:NATIONAL INSTITUTES OF HEALTH
Practice Address - Street 2:10 CENTER DRIVE, BLDG 10, CLINICAL CENTER - ROOM 5-5140
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-451-6409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC000533363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care