Individual provider · Type 1 NPI
Ellen Lavera Qualls, APN
Psychiatric/Mental Health Nurse Practitioner · Cave City, AR
NPI number
1689819682
Active
Practice location
301 S Main St Ste D
Cave City, AR 72521-5010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | A03179 (AR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | A03179 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1689819682
Ellen Lavera Qualls, APN's National Provider Identifier is 1689819682, issued on Dec 5, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cave City, AR. The record was last updated on Mar 25, 2024.