Provider Demographics
NPI:1043304256
Name:KONKEL, MARILYN FOLLETT (RN, MPH, CNM)
Entity type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:FOLLETT
Last Name:KONKEL
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Gender:F
Credentials:RN, MPH, CNM
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Mailing Address - Street 1:9413 APISON PIKE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-8661
Mailing Address - Country:US
Mailing Address - Phone:423-624-9830
Mailing Address - Fax:423-624-0773
Practice Address - Street 1:9413 APISON PIKE
Practice Address - Street 2:SUITE 124
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-8661
Practice Address - Country:US
Practice Address - Phone:423-624-9830
Practice Address - Fax:423-624-0773
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007478363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health