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WELCOMEHEALTH NPI 1366872731


NPI Information

NPI: 1366872731
Provider Name: WELCOMEHEALTH
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 04D2029162

Address:
1100 N WOOLSEY AVE
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 444-7548
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WELCOMEHEALTH is an adult health nurse practitioner in Fayetteville, AR. WELCOMEHEALTH NPI is 1366872731. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 N WOOLSEY AVE
FAYETTEVILLE, AR
ZIP 72703-847
Phone: (479) 444-7548
Fax: (479) 444-3381

The provider's authorized official is Monika Fischer-massie .
The authorized official title is Executive Director and has the following contact phone number (479) 444-7548.

The CLIA number assigned to this NPI record is 04D2029162 - other - free health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2013 and was last updated on 7/27/2015.


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
1363LA2200XNurse PractitionerAdult HealthYes

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

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