Organization · Type 2 NPI
Open Door Health and Community Services
Family Nurse Practitioner · West Fork, AR
NPI number
1366864530
Active
Practice location
425 N Centennial Ave, Suite A
West Fork, AR 72774-2708
Fax (479) 294-6152
Mailing address
425 N Centennial Ave Ste A
West Fork, AR 72774-2708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AOO1150 (AR) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in West Fork
About NPI 1366864530
Open Door Health and Community Services's National Provider Identifier is 1366864530, issued on Jan 7, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Fork, AR. The record was last updated on Jan 28, 2014.