Provider Demographics
NPI:1376548453
Name:CONARD, SHARON S (ARNP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:S
Last Name:CONARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 LINCOLN RD
Mailing Address - Street 2:STE L10
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4159
Mailing Address - Country:US
Mailing Address - Phone:563-355-9191
Mailing Address - Fax:563-355-3419
Practice Address - Street 1:210 W 53RD ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-2251
Practice Address - Country:US
Practice Address - Phone:563-386-0321
Practice Address - Fax:563-386-3211
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-040551363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
4796890009OtherDMERC
64905OtherIOWA HEALTH SOLUTIONS
IA0114OtherJOHN DEERE HEALTH PLAN
40198OtherWELLMARK BC/BS
063232OtherHEALTH ALLIANCE
IA0419614Medicaid
063232OtherHEALTH ALLIANCE
40198OtherWELLMARK BC/BS