Individual
DIANE H LYDDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R15892
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A01095
AR
Other
Enumeration date
06/13/2006
Last updated
01/18/2017
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