Organization · Type 2 NPI
Divine Interventions
Acute Care Nurse Practitioner · West Fork, AR
NPI number
1386895100
Active
Practice location
425-A N. Centennial
West Fork, AR 72774-1006
Fax (479) 294-6067
Mailing address
PO Box 1006
West Fork, AR 72774-1006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | A02935 (AR) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1386895100
Divine Interventions's National Provider Identifier is 1386895100, issued on Oct 10, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in West Fork, AR. The record was last updated on Oct 14, 2008.