Individual
ANGELA K CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CNP
Contact information
Practice address
1120 HEALTHCARE DR, MOUNT CARROLL, IL 61053-1461
(815) 244-4181
(815) 244-4185
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4008
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209006719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-006719
APN LICENSE
IL
Enumeration date
08/31/2007
Last updated
10/20/2017
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