Individual
NICOLE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
524 DOYLE RD, LAINGSBURG, MI 48848-9611
(517) 294-0681
Mailing address
4221 CHARLAR DR, HOLT, MI 48842-6804
(517) 694-7600
(517) 694-7003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704253647
MI
Other
Enumeration date
10/06/2020
Last updated
11/11/2020
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