MS. CAROLYN ANN CONLIN CPNP
NPI 1144305970
Nurse Practitioner - Pediatrics in Berkeley, CA
Active since October 27, 2006
About Ms. Carolyn Ann Conlin Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CAROLYN ANN CONLIN CPNP (NPI 1144305970) is an individual pediatrics provider in Berkeley, California, licensed in California (344538) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1144305970
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. CAROLYN ANN CONLINCredential: CPNP
Location Address1178 SAN PABLO AVEBerkeley, CA 94706-2245
Mailing Address1178 San Pablo AveBerkeley, CA 94706-2245 · (510) 524-9400 · Fax (510) 524-9470
Phone(510) 524-9400
Fax(510) 524-9470
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144305970 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 344538
1178 SAN PABLO AVE, Berkeley, CA 94706
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144305970, enumerated as an "individual" on October 27, 2006.
The provider is located at 1178 SAN PABLO AVE BERKELEY, CA 94706 and the phone number is (510) 524-9400.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
