Naomi Konkel
Individual provider Active NPI Child Mental Illness Respite Care · Williams, AZ
NPI 1154739654 · NPPES record last updated Jul 28, 2014
Key facts
- NPI
- 1154739654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child Mental Illness Respite Care 385HR2055X
- License
- 5945516 (AZ)
- Practice address
- 818 Quarter Horse Rd
Williams, AZ 86046-9643 - Phone
- (928) 380-4360
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5945516 | AZ | MD | Child Mental Illness Respite Care |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 5945516 | AZ | Yes |
Addresses
Primary practice location
818 Quarter Horse Rd
Williams, AZ 86046-9643
Mailing address
818 Quarter Horse Rd
Williams, AZ 86046-9643
Phone (928) 380-4360
Other providers in Williams, AZ
- Mary Jones
- Jenna Kay
- Allyson Noelle Keen
- Linda Louise Kline
- Mayra Kmetz
- Melissa H Maslar
- Colin Jude McNamara
- Katherine Morris
- Moseng Health Care Inc.
- Thomas M Myers
All providers in Williams, AZ · Child Mental Illness Respite Care in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.