# ALISSA MARIE CONKLIN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437318953
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01067822A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 11014262A | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | 4301104200 | MI | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD60198764 | WA | — |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 07/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001526215 | ANTHEM PTAN | IN |
| 05 | — | 300048049 | — | IN |