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Contact Information

NICOLE BREAZEAL, PSS
3111 S 70TH ST
FORT SMITH, AR72903-5017
 Phone: 479-452-6650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for NICOLE BREAZEAL · (Female)

NPI # 1811683147
Status Active
Credentials PSS
Entity Individual
Enumeration date 04/11/2023
Last updated 04/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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