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Individual

ROSE ELLA CONKLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
4414 BENNING RD NE, WASHINGTON, DC 20019-4555
(202) 469-4699
Mailing address
4414 BENNING RD NE, WASHINGTON, DC 20019-4555

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0024193635
VA
208D00000X
General Practice Physician
Primary
NP1036331
DC

Other

Enumeration date
08/20/2025
Last updated
08/20/2025
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