Larkin, Connie Jo
Larkin, Connie Jo is an individual health care provider with primary practice located at Hwy 160/163 Building Ka2010 Dhhs Naihs Phs Kayenta Health Center, Kayenta AZ 86033-0368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larkin, Connie Jo can be contacted via phone (928) 697-4000.Contact Information
Primary practice address
Hwy 160/163 Building Ka2010 Dhhs Naihs Phs Kayenta Health Center
Kayenta AZ 86033-0368
Phone: (928) 697-4000
Fax: (928) 697-4145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53-45252-102 | Kansas |
Profile Details
| NPI number | 1376573626 |
|---|---|
| LBN Legal business name | Larkin, Connie Jo |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jan 25th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376573626 | NPPES |
| Arizona | MEDICAID | 060012 |
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