Search › Indiana › 101YM0800X
Nicole Conrad, 106S00000X
NPI 1922654722 · on the registry since 2019 · sole proprietor
Practice
- Address
- 908 Manck Dr
Fort Wayne, IN 46814 - Phone
- (260) 271-5285
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 106S00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana