MALLORY DENAE HOELZEMAN APRN NPI 1710546957

NPI Information

NPI: 1710546957
Provider Name: MALLORY DENAE HOELZEMAN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3010 FOUNTAIN DR
CONWAY, AR
ZIP 72034
Phone: (501) 328-0055
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Mallory Denae Hoelzeman, APRN is a family nurse practitioner in Conway, AR. Mallory Denae Hoelzeman, APRN NPI is 1710546957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3010 FOUNTAIN DR
CONWAY, AR
ZIP 72034-684
Phone: (501) 328-0055
Fax: (501) 328-2194

The enumeration date for this NPI number is 6/11/2019 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	120120	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	120120	OTHER	ARKANSAS	ARKANSAS NURSE PRACTITIONER LICENSE
2	F06190767	OTHER		AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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