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RICHARD WILLIAM CONWAY
Emergency >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1720748726
Individual Registrant: RICHARD WILLIAM CONWAY
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
9466 S KIMBLE RD PEQUOT LAKES, MN 56472-3838 US
Tel: 714-204-6940 Fax: --
Tel: 714-204-6940 Fax: --
Contact information for business:
9466 S KIMBLE RD PEQUOT LAKES, MN 56472-3838 US
Tel: 714-204-6940 Fax: --
Tel: 714-204-6940 Fax: --
Registration Information:
NPI: 1720748726
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WE0003X | Nursing Service Providers Registered Nurse Emergency | MN | 2489267 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
