AUTUMN LEA CONKLIN
NPI 1710273875
Registered Nurse - Pediatrics in Washington, PA
Active since June 27, 2011
About Autumn Lea Conklin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN LEA CONKLIN (NPI 1710273875) is an individual pediatrics provider in Washington, Pennsylvania, licensed in Pennsylvania (RN626758) and active in the NPI registry since June 2011.
NPPES Registry Identity
NPI1710273875
Entity TypeIndividualFemale
Primary Taxonomy163WP0200X
Provider Legal NameAUTUMN LEA CONKLIN
Location Address289 NORTH AVEWashington, PA 15301-3512
Mailing Address4297 Prosperity PikeProsperity, PA 15329-1254
Phone(724) 223-7801
Sole ProprietorNo
Enumeration DateJune 27, 2011
✔ NPI 1710273875 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers
Taxonomy Code163WP0200X
License✔ Licensed in PA · RN626758
289 NORTH AVE, Washington, PA 15301
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Speech-Language Pathologist
289 NORTH AVE
WASHINGTON, PA 15301
WASHINGTON, PA 15301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710273875, enumerated as an "individual" on June 27, 2011.
The provider is located at 289 NORTH AVE WASHINGTON, PA 15301 and the phone number is (724) 223-7801.
Registered Nurse with taxonomy code 163WP0200X and a focus in Pediatrics.
