Individual provider · Type 1 NPI
Michael Isaac Conrad
Psychiatric/Mental Health Nurse Practitioner · Corona, CA
NPI number
1619806080
Active
Practice location
1951 Lynwood Cir
Corona, CA 92881-7448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95039039 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619806080
Michael Isaac Conrad's National Provider Identifier is 1619806080, issued on May 14, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Corona, CA. The record was last updated on May 14, 2026.