Individual provider · Type 1 NPI

Autumn Lea Conklin

Pediatric Registered Nurse · Washington, PA

NPI number 1710273875 Active

Practice location

289 North Ave
Washington, PA 15301-3512

Mailing address

4297 Prosperity Pike
Prosperity, PA 15329-1254

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200XRN626758 (PA)

Pediatric Registered Nurse: Definition to come...

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About NPI 1710273875

Autumn Lea Conklin's National Provider Identifier is 1710273875, issued on Jun 27, 2011. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Washington, PA. The record was last updated on Jun 27, 2011.