Doctor Name: | MS. DENA RAE CONKLIN |
NPI Number: | 1326191404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN00106512 |
Business Practice Address: | 401 Buster Rd Toppenish, WA - 989489792 |
Business Phone Number: | 5098652102 |
Business Fax Number: | 5098655374 |
Mailing Address: | 401 Buster Rd, TOPPENISH |
State: | WA |
Postal Code: | 989489792 |
Phone Number: | 5098652102 |
Fax Number: | 5098655374 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN00106512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |