Individual provider · Type 1 NPI

Andrea King

Pediatric Nurse Practitioner · Bentonville, AR

NPI number 1386129898 Active

Practice location

2719 SE I St
Bentonville, AR 72712-3996

Mailing address

10 Cresswell Ln
Bella Vista, AR 72714-5225

Specialties and licenses

TaxonomyCodeLicense
Pediatric Clinical Nurse Specialist 364SP0200XA005839 (AR)
Pediatric Nurse Practitioner Primary 363LP0200XA005839 (AR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1386129898

Andrea King's National Provider Identifier is 1386129898, issued on Oct 1, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bentonville, AR. The record was last updated on May 17, 2024.