DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA MARIE CONKLIN

Active

TINA MARIE CONKLIN is a Licensed Practical Nurse healthcare provider located in ROSEBURG, Oregon. NPI 1447823810 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ROSEBURG, OR

Registration Details

NPI Number
1447823810
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2021 (5.0722930633475 yrs)
Last Updated
Jul 31, 2023
Licenses
21-QMHA-R-1339 (OR)
200330020LPN (OR)

Practice Information

Address
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR, 974703655
Browse OR providers · Browse ZIP 97470
Phone
5416733469
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in ROSEBURG, OR

Name Credential NPI
SHELLY ROBYN FULTZ LPN 1194966762
MRS. MANDY IRENE HOLFORD LPN 1407173297
ANGELA RENEE' DUKES 1174904007
JONATHAN SCHMIDT RN 1932551256
BRENDA ANDERSON LPN 1669924403
KARISA VALANCE 1851832893
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.