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Brandy Lee Vines
Family Nurse Practitioner in Pea Ridge, Arkansas
NPI 1306602701

Brandy Lee Vines is a Family Nurse Practitioner based in Pea Ridge, AR and is specialized in Family. Brandy Lee Vines practices in Pea Ridge, AR. The NPI Number for Brandy Lee Vines is 1306602701 and holds a License No. 227730 (Arkansas).

The current practice location address for Brandy Lee Vines is 2103 Slack St, Pea Ridge, AR and can be reached out via phone at 765-479-1980.

Location: 2103 Slack St, Pea Ridge, AR, 72751-4005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306602701
Provider Name
Brandy Lee Vines
Credential
Provider Entity Type
Individual
Gender
Female
Address
2103 Slack St, Pea Ridge, AR, 72751-4005
Phone Number
765-479-1980
Fax Number
Provider Enumeration Date
02/23/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2103 Slack St
City
Pea Ridge
State
Arkansas
Zip
72751-4005
Phone Number
765-479-1980
Fax Number
person
Provider Business Mailing Address Details
Address
2103 Slack St
City
Pea Ridge
State
Arkansas
Zip
72751-4005
Phone Number
765-479-1980
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
227730 (Arkansas)
Definition
Definition to come...
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