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NPI Profile for OZARK WELLNESS CLINIC PLLC in OZARK, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Health |
364SF0001X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1720482482 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/09/2014 | |
| Last updated | 01/19/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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OZARK WELLNESS CLINIC PLLC
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OZARK WELLNESS CLINIC PLLC