Individual provider · Type 1 NPI
Joseph Kent Tetirick, APN
Acute Care Nurse Practitioner · Fort Smith, AR
NPI number
1386983468
Active
Practice location
5808 Callaway Ln
Fort Smith, AR 72916-8437
Mailing address
132 Oak Grove Rd
Van Buren, AR 72956-8410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | A003816 (AR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1386983468
Joseph Kent Tetirick, APN's National Provider Identifier is 1386983468, issued on Feb 8, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Smith, AR. The record was last updated on Feb 8, 2013.