Individual provider · Type 1 NPI
Soudarath Liu, APRN
Primary Care Nurse Practitioner · Bentonville, AR
NPI number
1962153452
Active
Practice location
1401 N Walton Blvd
Bentonville, AR 72712-4676
Mailing address
5418 S Fireplace Dr
Rogers, AR 72758-4601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 217965 (AR) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Bentonville
About NPI 1962153452
Soudarath Liu, APRN's National Provider Identifier is 1962153452, issued on Jan 16, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bentonville, AR. The record was last updated on Jan 16, 2022.