MEDICARE: MS. ANNE FELICITA CONKLIN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN325431	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144221185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE FELICITA CONKLIN ARNP

Provider Business Mailing Address
First Line	:	13670 WALSINGHAM RD
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-3532
Country	:	US
Telephone Number	:	727-593-9848
Fax Number	:	727-596-4532

Provider Business Practice Location Address
First Line	:	13670 WALSINGHAM RD
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-3532
Country	:	US
Telephone Number	:	727-593-9848
Fax Number	:	727-596-4532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	10/12/2025

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