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Elizabeth L Banda Aprn Np-c Llc
Family Nurse Practitioner in Bonanza, Arkansas
NPI 1972967883

Elizabeth L Banda Aprn Np-c Llc is a Family Nurse Practitioner based in Poteau, AR and is specialized in Family. Elizabeth L Banda Aprn Np-c Llc practices in Bonanza, AR. The NPI Number for Elizabeth L Banda Aprn Np-c Llc is 1972967883 and holds a License No. A004191 (Arkansas).

The current practice location address for Elizabeth L Banda Aprn Np-c Llc is 920 S Highway 45, Bonanza, AR and can be reached out via phone at 479-255-6150.

Location: 920 S Highway 45, Bonanza, AR, 74953-2244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972967883
Provider Name
Elizabeth L Banda Aprn Np-c Llc
Credential
Provider Entity Type
Organization
Address
920 S Highway 45, Bonanza, AR, 74953-2244
Phone Number
479-255-6150
Fax Number
Provider Enumeration Date
04/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200597420A 05 OK
institution
Provider Business Practice Location Address Details
Address
920 S Highway 45
City
Bonanza
State
Arkansas
Zip
72916-3420
Phone Number
479-255-6150
Fax Number
person
Provider Business Mailing Address Details
Address
920 S Highway 45
City
Bonanza
State
Arkansas
Zip
72916-3420
Phone Number
479-255-6150
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A004191 (Arkansas)
Definition
Definition to come...
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