MRS. TREVA M CHURCHWELL RN WON NPI 1891402863

NPI Information

NPI: 1891402863
Provider Name: MRS. TREVA M CHURCHWELL, RN WON
Classification: Registered Nurse - 163WW0000X
Entity Type: Individual

Specialization: Wound Care

Address:
1 MEDICAL PARK DR
BENTON, AR
ZIP 72015
Phone: (501) 776-6000
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MRS. Treva M Churchwell, RN WON is a wound care registered nurse in Benton, AR. MRS. Treva M Churchwell, RN WON NPI is 1891402863. 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:

1 MEDICAL PARK DR
BENTON, AR
ZIP 72015-353
Phone: (501) 776-6000

The enumeration date for this NPI number is 10/31/2022 and was last updated on 10/31/2022.

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	163W00000X	Registered Nurse		R85437	ARKANSAS	No
2	163WH0200X	Registered Nurse	Home Health	R85437	ARKANSAS	No
3	163WH1000X	Registered Nurse	Hospice	R85437	ARKANSAS	No
4	163WX1500X	Registered Nurse	Ostomy Care	R85437	ARKANSAS	No
5	163WW0000X	Registered Nurse	Wound Care	R85437	ARKANSAS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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