Individual
GRANT GEBHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-1000
Mailing address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R108631
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
230182
AR
Other
Enumeration date
05/25/2020
Last updated
08/24/2024
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