| Doctor Name: | CONNIE JO LARKIN |
| NPI Number: | 1376573626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 53-45252-102 |
| Business Practice Address: | Hwy 160/163 Building Ka2010 Dhhs Naihs Phs Kayenta Health Center Kayenta, AZ - 860330368 |
| Business Phone Number: | 9286974000 |
| Business Fax Number: | 9286974145 |
| Mailing Address: | Po Box 368, KAYENTA |
| State: | AZ |
| Postal Code: | 860330368 |
| Phone Number: | 9286974000 |
| Fax Number: | 9286974145 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 01/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 53-45252-102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |