Female

Alicia Conrad ARNP

Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Alicia Conrad ARNP

NPI Number

1174577605

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/20/2006

Specialties

(Taxonomies)

Code

363L00000X
363LA2100X

Primary Taxonomy

Yes
No

Licenses

State

Colorado
Florida

License Number

990246
ARNP9179050

Contact
Information

Purpose

Mailing
Location

Address

777 BANNOCK ST
1 TAMPA GENERAL CIR STE E409

City

Denver
Tampa

State

CO
FL

Postal Code

80204-4507
33606-3571

Country

US
US

Telephone Number

(303) 436-6262
(813) 404-0796

Identifiers

Identifier

Y092U

Identifier State

FL

Identifier Issuer

BLUE CROSS BLUE SHIELD

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

aconrad8295@direct.tgh.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1 Tampa General Cir Ste E409Tampa, FL336063571US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2021

Provider Address

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