Katherine Marie Conklin MSN, C-FNP

NPI 1770762122 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1770762122
Gender Female
Enumeration Date 11/01/2007
Last Updated 11/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1028 HANNAH AVE
SUITE D
TRAVERSE CITY MI, 49686-2963, US
Phone (231) 946-7360
Fax (231) 929-4775
Business Location
1028 HANNAH AVE
SUITE D
TRAVERSE CITY MI, 49686-2963, US
Phone (231) 946-7360
Fax (231) 929-4775
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704082526
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According to our database, Katherine Marie Conklin MSN, C-FNP NPI is 1770762122, taxonomy code is 363L00000X and license number is 4704082526, license state is located at Michigan. Katherine Marie Conklin MSN, C-FNP physically located at 1028 Hannah Ave, Traverse City MI, 49686-2963. NPI Number Katherine Marie Conklin MSN, C-FNP has the Individual type.

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1770762122 NPI number is provided on an as is basis without warranty of any kind. 1770762122 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Marie Conklin MSN, C-FNP are for informational purposes only.