Provider Demographics
NPI:1124573001
Name:CONCEPCION, ARLENE B (R N)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:B
Last Name:CONCEPCION
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10512 RAPTOR CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-1675
Mailing Address - Country:US
Mailing Address - Phone:510-673-5951
Mailing Address - Fax:
Practice Address - Street 1:10512 RAPTOR CT
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-1675
Practice Address - Country:US
Practice Address - Phone:510-673-5951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-20
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA721186163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health