Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP CONWELL JR., CRNA
ActivePHILLIP CONWELL JR., CRNA is a Registered Nurse healthcare provider located in FORT BRAGG, California. NPI 1255540340 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · FORT BRAGG, CA
Registration Details
- NPI Number
- 1255540340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.241565377868 yrs)
- Last Updated
- Mar 18, 2024
- Licenses
-
RN405621 (CA)1064 (CA)
Practice Information
- Address
-
700 RIVER DRFORT BRAGG, CA, 954375403Browse CA providers · Browse ZIP 95437
- Phone
- 7079611234
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Registered Nurse Providers in FORT BRAGG, CA
| Name | Credential | NPI |
|---|---|---|
| JOHN CLARENDON WORTHINGTON | RN | 1487284980 |
| MAUREEN SMYTH | — | 1053933291 |
| BETHANY ANN PARSEN | RN | 1942003454 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.