RICHARD WILLIAM CONWAY
NPI 1720748726
Registered Nurse - Emergency in Pequot Lakes, MN
Active since December 18, 2021
About Richard William Conway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD WILLIAM CONWAY (NPI 1720748726) is an individual emergency provider in Pequot Lakes, Minnesota, licensed in Minnesota (2489267) and active in the NPI registry since December 2021.
NPPES Registry Identity
NPI1720748726
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameRICHARD WILLIAM CONWAY
Location Address9466 S KIMBLE RDPequot Lakes, MN 56472-3838
Mailing Address9466 S Kimble RdPequot Lakes, MN 56472-3838 · (714) 204-6940
Phone(714) 204-6940
Sole ProprietorNo
Enumeration DateDecember 18, 2021
Last NPPES UpdateJanuary 8, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2022
✔ NPI 1720748726 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in MN · 2489267
9466 S KIMBLE RD, Pequot Lakes, MN 56472
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720748726, enumerated as an "individual" on December 18, 2021.
The provider is located at 9466 S KIMBLE RD PEQUOT LAKES, MN 56472 and the phone number is (714) 204-6940.
Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.
