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Contact Information

DIANE CONKLIN, APRN
2180 MAIN ST
WAILUKU, HI96793-1666
 Phone: 808-242-6464
 Fax: 808-242-4209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DIANE CONKLIN · (Female)

NPI Number 1497788012
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/08/2006
Last updated 05/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • HI License # APRN827
  • OR License # 201703379NP-PP
  • HI Other 0257493 HMSA - 65CP - HMSA QUEST
  • HI Other 99017685996768 TRICARE- CHAMPUS
  • HI Other 431043 UHA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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