Individual
TARA CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 LIBERTY SQ, BOSTON, MA 02109-5800
(203) 858-1690
Mailing address
6 LIBERTY SQ # 97524, BOSTON, MA 02109-5800
(203) 858-1690
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2315801
MA
Other
Enumeration date
07/08/2022
Last updated
07/08/2024
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