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MARY WREN OB/GYN PLLC NPI 1922258417


NPI Information

NPI: 1922258417
Provider Name: MARY WREN OB/GYN, PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
628 HOSPITAL DR STE 3-E
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 425-7300
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MARY WREN OB/GYN, PLLC is an obstetrics gynecology in Mountain Home, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARY WREN OB/GYN, PLLC NPI is 1922258417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

628 HOSPITAL DR STE 3-E
MOUNTAIN HOME, AR
ZIP 72653-937
Phone: (870) 425-7300
Fax: (870) 425-7855

The provider's authorized official is Mary R Wren .
The authorized official title is President/physician and has the following contact phone number (870) 425-7300.

The enumeration date for this NPI number is 9/22/2008 and was last updated on 9/22/2008.


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
1207V00000XObstetrics & GynecologyC7991ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F83275MEDICARE UPINARKANSAS

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

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