Individual
MARJORIE CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704351748
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881622892
—
MI
Enumeration date
05/12/2025
Last updated
05/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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