Audrey Conrad, MS, RDN | |
16924 Foothill Ave Apt 3, Eagle River, AK 99577-8298 | |
(307) 761-2043 | |
Not Available |
Full Name | Audrey Conrad |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 5 Years |
Location | 16924 Foothill Ave Apt 3, Eagle River, Alaska |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619593449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86100931 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mt Edgecumbe Hospital | Sitka, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Alaska Regional Health Consortium | 1456265362 | 263 |
Provider Name | Southeast Alaska Regional Health Consortium |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
Provider Name | Yukon-kuskokwim Health Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515 |
Mailing Address | Practice Location Address |
---|---|
Audrey Conrad, MS, RDN 16924 Foothill Ave Apt 3, Eagle River, AK 99577-8298 Ph: (907) 382-1420 | Audrey Conrad, MS, RDN 16924 Foothill Ave Apt 3, Eagle River, AK 99577-8298 Ph: (307) 761-2043 |
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