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NORTHWEST ARKANSAS SENIOR CARE SPECIALISTS PLLC NPI 1326549783


NPI Information

NPI: 1326549783
Provider Name: NORTHWEST ARKANSAS SENIOR CARE SPECIALISTS, PLLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 04D1039746

Address:
2629 N SIERRA AVE
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 445-3469
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NORTHWEST ARKANSAS SENIOR CARE SPECIALISTS, PLLC is a primary care nurse practitioner in Fayetteville, AR. NORTHWEST ARKANSAS SENIOR CARE SPECIALISTS, PLLC NPI is 1326549783. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2629 N SIERRA AVE
FAYETTEVILLE, AR
ZIP 72703-370
Phone: (479) 445-3469
Fax: (877) 693-6271

The provider's authorized official is Jennifer Oxford .
The authorized official title is Owner and has the following contact phone number (479) 445-3469.

The CLIA number assigned to this NPI record is 04D1039746 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 6/17/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineC5210ARKANSASNo
2363LP2300XNurse PractitionerPrimary CareA004438ARKANSASYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.