| Doctor Name: | MS. MARILYN FOLLETT KONKEL |
| NPI Number: | 1043304256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., M.P.H., C.N.M. |
| License Number: | APN0000007478 |
| Business Practice Address: | 9413 Apison Pike Suite 124 Ooltewah, TN - 373638661 |
| Business Phone Number: | 4236249830 |
| Business Fax Number: | 4236240773 |
| Mailing Address: | 9413 Apison Pike, Suite 124 OOLTEWAH |
| State: | TN |
| Postal Code: | 373638661 |
| Phone Number: | 4236249830 |
| Fax Number: | 4236240773 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | APN0000007478 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |