NPI
Mariah Conyers
NPI 1720654478
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2021-06-02
- Last updated
- 2025-09-30
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Specialties
Licenses
- License IN
- 10003772A
- License IL
- 085008522
Location
- Practice location
- 565 Remington Dr
- City
- Hudson CO
- Postal code
- 80642-7408
- Phone
- (402) 910-1019
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Hudson, CO. 20 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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