Individual
DANIELLE CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
826 OLDFIELD RD UNIT 1, FAIRFIELD, CT 06824-6455
(917) 830-3189
Mailing address
826 OLDFIELD RD UNIT 1, FAIRFIELD, CT 06824-6455
(917) 830-3189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
668657-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401860-1
NY
Other
Enumeration date
06/20/2015
Last updated
01/23/2026
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