| NPI | 1437537453 |
|---|---|
| Doing Business As | AHEC NE FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RON COLE Center Director 870-972-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |