Individual provider · Type 1 NPI

Brenda O. Dimauro, C.P.N.P.

Nurse Practitioner · Fayetteville, AR

NPI number 1497704365 Active

Practice location

2100 N Green Acres Rd, Suite A
Fayetteville, AR 72703-2807

Fax (479) 521-4167

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XP00691 (AR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497704365

Brenda O. Dimauro, C.P.N.P.'s National Provider Identifier is 1497704365, issued on May 9, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 12, 2007.