Individual
TRACY CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 GATEWAY CT, WEST BEND, WI 53095-8539
(262) 335-8669
Mailing address
1137 KINROSS CT, WEST BEND, WI 53095-3825
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
130714-30
WI
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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