| Organization Name: | PATRICIA CONKLING CNP LLC |
| NPI Number: | 1023219680 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA CONKLING (CERTIFIED NURSE PRACTITIONER) |
| Mailing Address: | 4200 Meadowlark Ln Se Suite 2 Rio Rancho |
| State: | NM US |
| Postal Code: | 871241050 |
| Phone Number: | 5059819990 |
| Fax Number: | 5058919007 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | R23886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |