Conrad Watt
Licensed Practical Nurse • Freeport, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Conrad Watt has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Conrad Watt was a registered Licensed Practical Nurse practicing in Freeport, NY. Throughout an active medical career spanning 10 years, Conrad Watt provided care at the practice location at 61 LAKEVIEW AVE until profile deactivation on 2020-06-01.
Practice Location & Contact Primary Location
61 Lakeview Ave
Freeport, NY 115202504
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Freeport, NY
Practicing in Freeport, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
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Record deactivated on June 01, 2020
NPI status registered as active in NPPES database
Registered at 61 LAKEVIEW AVE, FREEPORT, NY 115202504 (Tel: 5166238515)
Registered at 61 LAKEVIEW AVE, FREEPORT, NY 115202504 (Tel: 5166238515)
Recorded as CONRAD WATT
Licensed Practical Nurse (License #248872 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
61 Lakeview Ave
Freeport, NY 115202504
Phone: 5166238515
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