Ms Diane Conklin, APRN | |
2180 Main St, Wailuku, HI 96793-1666 | |
(808) 242-6464 | |
(808) 242-4209 |
Full Name | Ms Diane Conklin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 2180 Main St, Wailuku, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497788012 | NPI | - | NPPES |
99017685996768 | Other | HI | TRICARE- CHAMPUS |
0257493 | Other | HI | HMSA - 65CP - HMSA QUEST |
431043 | Other | HI | UHA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN827 (Hawaii) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 201703379NP-PP (Oregon) | Primary |
Entity Name | Axis Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780988261 PECOS PAC ID: 7214119544 Enrollment ID: O20110308000830 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Conklin, APRN 2180 Main St, Wailuku, HI 96793-1666 Ph: (808) 242-6464 | Ms Diane Conklin, APRN 2180 Main St, Wailuku, HI 96793-1666 Ph: (808) 242-6464 |
Ms. Teresa Marie Schulze, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-244-9056 | |
Joanna Marie Fidel Plumb, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 | |
Rosemarie Foronda, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2343 | |
Megan Makahanaloa-antunez, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 704-373-0212 | |
Rowena Nikki Baysa, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 | |
Ms. Donna Grace Hinton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 766 Analio St, Wailuku, HI 96793 Phone: 808-242-4081 | |
Caroline Koley Stoner, N.P.C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 S Market St, Wailuku, HI 96793 Phone: 808-727-0900 |