# MS. DIANE CONKLIN

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

## Provider details

- **NPI number:** 1497788012
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN827 | HI | — |
| 363LP2300X | Primary Care Nurse Practitioner | 201703379NP-PP | OR | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 05/30/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0257493 | HMSA - 65CP - HMSA QUEST | HI |
| 01 | — | 431043 | UHA | HI |
| 01 | — | 99017685996768 | TRICARE- CHAMPUS | HI |