Individual
ANGELA M CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7050
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00092318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00092318
REGISTERED NURSE LICENSE
WA
Enumeration date
12/02/2021
Last updated
12/02/2021
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