institution
Wagoner Primary Care, Llc
Family Nurse Practitioner in Evening Shade, Arkansas
NPI 1811578701

Wagoner Primary Care, Llc is a Family Nurse Practitioner based in Evening Shade, AR and is specialized in Family. Wagoner Primary Care, Llc practices in Evening Shade, AR. The NPI Number for Wagoner Primary Care, Llc is 1811578701 and holds a License No. (Arkansas).

The current practice location address for Wagoner Primary Care, Llc is 1477 Highway 167, Evening Shade, AR and can be reached out via phone at 870-283-2554.

Location: 1477 Highway 167, Evening Shade, AR, 72532-9497
institution
Provider Profile Details
NPI Number
1811578701
Provider Name
Wagoner Primary Care, Llc
Credential
Provider Entity Type
Organization
Address
1477 Highway 167, Evening Shade, AR, 72532-9497
Phone Number
870-283-2554
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1477 Highway 167
City
State
Zip
72532-9497
Phone Number
870-283-2554
Fax Number
person
Provider Business Mailing Address Details
Address
1477 Highway 167
City
State
Zip
72532-9497
Phone Number
870-283-2554
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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