Individual
OKSANA KONKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 N TEGNER ST, WICKENBURG, AZ 85390-1461
(928) 668-1999
Mailing address
1959 S POWER RD, MESA, AZ 85206-3762
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
266782
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
266782
AZ
363LF0000X
Family Nurse Practitioner
266782
AZ
Other
Enumeration date
12/07/2021
Last updated
05/10/2024
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