MS. MARY KATHERINE CONKLEN APN NPI 1831167592

NPI Information

NPI: 1831167592
Provider Name: MS. MARY KATHERINE CONKLEN, APN
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
710 N 8TH ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 525-1064
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MS. Mary Katherine Conklen, APN is a psychiatric/mental health and adult clinical nurse specialist in Springfield, IL. MS. Mary Katherine Conklen, APN NPI is 1831167592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

710 N 8TH ST
SPRINGFIELD, IL
ZIP 62702-324
Phone: (217) 525-1064
Fax: (217) 525-1651

The enumeration date for this NPI number is 3/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00088386	OTHER	ILLINOIS	RAILROAD MEDICARE
2	204427	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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