| NPI | 1114332665 |
|---|---|
| Other Name | WALMART CARE CLINIC 10-0511 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Director Of Healthcare Contracting 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2015-02-19 |