Individual provider · Type 1 NPI
Diane Conklin, APRN
Primary Care Nurse Practitioner · Wailuku, HI
NPI number
1497788012
Active
Practice location
2180 Main St
Wailuku, HI 96793-1666
Fax (808) 242-4209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | APRN827 (HI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 201703379NP-PP (OR) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1497788012
Diane Conklin, APRN's National Provider Identifier is 1497788012, issued on Jul 8, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Wailuku, HI. The record was last updated on May 30, 2017.