Individual
MRS. DEBORAH MULLENS SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
1706 SE WALTON BLVD., OZARK URGENT CARE, BENTONVILLE, AR 72712
(479) 464-0400
Mailing address
408 JTL PKWY E, SPRINGDALE, AR 72762-8405
(479) 422-8961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
549052
TX
363LF0000X
Family Nurse Practitioner
Primary
A01483
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1214132-05
—
TX
05
—
142199758
—
AR
01
—
5W115
AR BC/BS
AR
Enumeration date
10/17/2005
Last updated
07/31/2014
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