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Russellville Holdings Llc
Family Nurse Practitioner in Hector, Arkansas
NPI 1932150943

Russellville Holdings Llc is a Family Nurse Practitioner based in Hector, AR and is specialized in Family. Russellville Holdings Llc practices in Hector, AR. The NPI Number for Russellville Holdings Llc is 1932150943 and holds a License No. 4192 (Arkansas).

The current practice location address for Russellville Holdings Llc is 11720 Sr 27, Hector, AR and can be reached out via phone at 479-284-5001 and via fax at 479-284-4210.

Location: 11720 Sr 27, Hector, AR, 72843-8712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932150943
Provider Name
Russellville Holdings Llc
Credential
Provider Entity Type
Organization
Address
11720 Sr 27, Hector, AR, 72843-8712
Phone Number
479-284-5001
Fax Number
479-284-4210
Provider Enumeration Date
05/14/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182331729 05 AR
institution
Provider Business Practice Location Address Details
Address
11720 Sr 27
City
Hector
State
Arkansas
Zip
72843-8712
Phone Number
479-284-5001
Fax Number
479-284-4210
person
Provider Business Mailing Address Details
Address
11720 Sr 27
City
Hector
State
Arkansas
Zip
72843-8712
Phone Number
479-284-5001
Fax Number
479-284-4210
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
A001233 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4192 (Arkansas)
Definition
Definition to come...
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