Conklin, Diane

Conklin, Diane is an individual health care provider with primary practice located at 2180 Main St , Wailuku HI 96793-1666. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Conklin, Diane can be contacted via phone (808) 242-6464.

Contact Information

Primary practice address
2180 Main St Wailuku HI 96793-1666
Phone: (808) 242-6464
Fax: (808) 242-4209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN827 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201703379NP-PP Oregon

Profile Details

NPI number 1497788012
LBN Legal business name Conklin, Diane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated May 30th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497788012 NPPES
Hawaii Other 99017685996768 TRICARE- CHAMPUS
Hawaii Other 0257493 TRICARE- CHAMPUS
Hawaii Other 431043 TRICARE- CHAMPUS

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