National Provider Identifier

Autumn Marie Conklin, BSN, RN

Autumn Marie Conklin, BSN, RN is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Elmira, NY and a listed phone number of (607) 742-0369.

NPI 1831044320Elmira, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1831044320
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 02, 2026
Last Updated
March 02, 2026

Practice Location

  • 1580 Lake St Ste 1
  • Elmira, NY 14901-1255

Phone: (607) 742-0369

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1831044320
Entity Type
Individual
Last Name
Conklin
First Name
Autumn
Middle Name
Marie
Name Prefix
Mrs.
Credential
BSN, RN
Mailing Street Address
1580 Lake St Ste 1
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-1255
Mailing Country
US
Mailing Phone
(607) 742-0369
Practice Street Address
1580 Lake St Ste 1
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1255
Practice Country
US
Practice Phone
(607) 742-0369
Enumeration Date
March 02, 2026
Last Updated
March 02, 2026
Sex
Female
Sole Proprietor
Yes
Certification Date
March 02, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)