Individual
HEIDI ANN CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6005 MONCLOVA RD, SUITE 320, MAUMEE, OH 43537-1864
(419) 578-7555
(419) 539-6336
Mailing address
6005 MONCLOVA RD, SUITE 320, MAUMEE, OH 43537-1864
(419) 578-7555
(419) 539-6336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP08124
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2429241
—
OH
05
—
2940509
—
OH
Enumeration date
11/11/2008
Last updated
11/03/2023
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