Individual
MRS. DONNA CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1771 TOMMY AARON, EL PASO, TX 79936
(915) 822-1988
(915) 821-9581
Mailing address
1771 TOMMY AARON, EL PASO, TX 79936
(915) 822-1988
(915) 821-9581
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
567401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004HT
BC/BS PROVIDER NUMBER
TX
01
—
50289
PRESBYTERIAN SALUD PROVID
TX
Enumeration date
10/31/2006
Last updated
07/08/2007
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