Evelyn Colleen Conklin, MS-RN is a
Clinical Nurse Specialist based in Canton, Michigan. Evelyn Colleen Conklin is licensed to practice in Michigan (license number 4704080542) and her current practice location is
43835 Brandywyne Rd, Canton, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 459-8991.
NPI number for Evelyn Colleen Conklin is 1043498462 and her current mailing address is 43835 Brandywyne Rd, Canton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043498462.
Healthcare Provider's Profile
Full Name | Evelyn Colleen Conklin |
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Gender | Female |
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Speciality | Clinical Nurse Specialist |
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Location | 43835 Brandywyne Rd, Canton, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043498462
- Provider Enumeration Date: 02/07/2008
- Last Update Date: 07/18/2013
Medical Identifiers
Medical identifiers for Evelyn Colleen Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043498462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 4704080542 (Michigan) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 4704080542 (Michigan) | Secondary |
364S00000X | Clinical Nurse Specialist | 4704080542 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evelyn Colleen Conklin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Evelyn Colleen Conklin, MS-RN 43835 Brandywyne Rd, Canton, MI 48187-2158 Ph: (734) 459-8991 | Evelyn Colleen Conklin, MS-RN 43835 Brandywyne Rd, Canton, MI 48187-2158 Ph: (734) 459-8991 |
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