Individual
BRENNA RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 PHOENIX AVE, SUITE B, FORT SMITH, AR 72903-5092
(479) 785-9091
Mailing address
6601 PHOENIX AVE, SUITE B, FORT SMITH, AR 72903-5092
(479) 785-9091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R084735
AR
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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