NPI | 1346789948 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLA WATKINS Owner 479-387-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003468) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR RO51515) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR A003468) | |
Enumeration Date | 2017-02-15 |
Last Update Date | 2017-02-15 |