National Provider Identifier

Mary L Conklin, CDN

Mary L Conklin, CDN is listed in the NPPES registry with a primary specialty of Nutrition Education Nutritionist in Dansville, NY and a listed phone number of (607) 664-4803.

NPI 1467569178Dansville, NYNutrition Education Nutritionist

Profile Overview

NPI
1467569178
Provider Type
Individual
Primary Specialty
Nutrition Education Nutritionist
Enumeration Date
August 25, 2006
Last Updated
July 08, 2007

Practice Location

  • 12 Clay St
  • Dansville, NY 14437-1304

Phone: (607) 664-4803

Specialties

  • Nutrition Education Nutritionist (133NN1002X)
Full Record
NPI
1467569178
Entity Type
Individual
Last Name
Conklin
First Name
Mary
Middle Name
L
Name Prefix
Mrs.
Credential
CDN
Mailing Street Address
12 Clay St
Mailing City
Dansville
Mailing State
NY
Mailing ZIP Code
14437-1304
Mailing Country
US
Mailing Phone
(607) 664-4803
Practice Street Address
12 Clay St
Practice City
Dansville
Practice State
NY
Practice ZIP Code
14437-1304
Practice Country
US
Practice Phone
(607) 664-4803
Enumeration Date
August 25, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nutrition Education Nutritionist (133NN1002X)