Provider Demographics
NPI:1902015050
Name:CONLEY, VIRGINIA MARY (APRN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:MARY
Last Name:CONLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:7621 OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-7175
Mailing Address - Country:US
Mailing Address - Phone:307-399-5410
Mailing Address - Fax:877-345-3501
Practice Address - Street 1:701 RIVERVIEW ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50316-2343
Practice Address - Country:US
Practice Address - Phone:888-948-6789
Practice Address - Fax:877-345-3501
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAG118212363LF0000X
WY15627.0170363LF0000X
IAA-118212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAG118212OtherARNP