Provider Demographics
NPI:1538450986
Name:CONDE, DAPHNE M (ACNP-BC)
Entity type:Individual
Prefix:
First Name:DAPHNE
Middle Name:M
Last Name:CONDE
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:M
Other - Last Name:BESTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:002-431-4558
Mailing Address - Fax:
Practice Address - Street 1:503 N 21ST ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2204
Practice Address - Country:US
Practice Address - Phone:717-531-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2025-04-04
Deactivation Date:2014-06-24
Deactivation Code:
Reactivation Date:2014-10-02
Provider Licenses
StateLicense IDTaxonomies
PASP031110363L00000X
NJ26NJ00325100363LA2100X
NYF430616-1363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04062213Medicaid