Individual provider · Type 1 NPI

Shon Lindsay Moudy, APRN

Pediatric Nurse Practitioner · Bentonville, AR

NPI number 1861005860 Active

Practice location

2900 Medical Center Pkwy Ste 370
Bentonville, AR 72712-3214

Call (479) 282-2966 Map

Fax (479) 282-2967

Mailing address

PO Box 2760
Bentonville, AR 72712-7704

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X124245 (AR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1861005860

Shon Lindsay Moudy, APRN's National Provider Identifier is 1861005860, issued on Aug 28, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bentonville, AR. The record was last updated on Aug 28, 2020.