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Individual

MRS. MELANIE CAITLIN HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3232 N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
S002288
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013324631
MO
05
200562560A
OK
05
205403758
AR
Enumeration date
07/15/2014
Last updated
03/30/2020
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