Robert Conkel
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Orient, OH
NPI 1336693530 · NPPES record last updated Dec 22, 2021
Key facts
- NPI
- 1336693530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.019458 (OH)
- Practice address
- 11271 State Route 762
Orient, OH 43146-9005 - Phone
- (614) 585-5106
- NPI assigned
- Aug 5, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| APRN.CNP.019458 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.019458 | OH | Yes |
Addresses
Primary practice location
11271 State Route 762
Orient, OH 43146-9005
Mailing address
4545 Fisher Rd Ste D
Columbus, OH 43228-8923
Phone (614) 387-0588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN.CNP.019458 | Other | OH | NONE |
Other providers in Orient, OH
- Heather L Baker
- Octavia Barrett
- Angela M Bolenbaugh
- Megan Renee Bowers
- Emily Clarke
- Angela Ruth Corbett
- Lisa Michelle D'Aurelio
- Arjuna De Silva
- Erica Dimmerling
- Dr Oduro LLC
All providers in Orient, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2021. 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.