Individual
PATRICIA CONKLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4200 MEADOWLARK LN SE, STE 2, RIO RANCHO, NM 87124-1050
(505) 891-9990
(505) 891-9007
Mailing address
4200 MEADOWLARK LN SE, STE 2, RIO RANCHO, NM 87124-1050
(505) 891-9990
(505) 891-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R23886
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000021
LHP
NM
01
—
200601944
PHP
NM
05
—
27986756
—
NM
01
—
NM026863
BCBS
NM
01
—
P00302877
RAILROAD MEDICARE
NM
01
—
PROVP12369
MOLINA SALUD
NM
Enumeration date
10/31/2005
Last updated
08/10/2013
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