MALLORY DENAE HOELZEMAN APRN NPI 1710546957

NPI Information

  • NPI: 1710546957
  • Provider Name: MALLORY DENAE HOELZEMAN, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 3010 FOUNTAIN DR
    CONWAY, AR
    ZIP 72034
  • Phone: (501) 328-0055

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NPI Details

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
1363LF0000XNurse PractitionerFamily120120ARKANSASYes

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
1120120OTHERARKANSASARKANSAS NURSE PRACTITIONER LICENSE
2F06190767OTHERAMERICAN 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: 3/30/2025

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