Individual
MRS. AUTUMN MARIE CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1580 LAKE ST STE 1, ELMIRA, NY 14901-1255
(607) 742-0369
Mailing address
1580 LAKE ST STE 1, ELMIRA, NY 14901-1255
(607) 742-0369
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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