Organization · Type 2 NPI
Family Pavilion LLC
Family Nurse Practitioner · Little Rock, AR
NPI number
1891367090
Active
Practice location
1 Saint Vincent Cir Ste 440
Little Rock, AR 72205-5492
Fax (501) 666-8538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1891367090
Family Pavilion LLC's National Provider Identifier is 1891367090, issued on Jul 15, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Little Rock, AR. The record was last updated on Sep 18, 2023.