Polly Kay Conley, R.N., P.N.P
Nurse Practitioner, Pediatrics in Grass Valley, CA. Individual provider (NPI-1).
NPI number1487904074
StatusActive
Last updated in NPPESAug 29, 2018
Details
- NPI
- 1487904074
- Entity type
- Individual (NPI-1)
- Name
- Ms. Polly Kay Conley
- Credential
- R.N., P.N.P
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2012
- Last updated
- Aug 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 14104 | CA | Yes |
Practice location
844 Old Tunnel RdGrass Valley, CA 95945
Phone 530-274-9762 · Fax 530-273-0698
Mailing address
10644 James LnNevada City, CA 95959-3408
Phone 530-613-3116
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