Individual
MS. DANNA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200920
NC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
200920
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200920
NURSE PRACTITIONER NC LIC
NC
05
—
6113016
—
NC
Enumeration date
12/27/2006
Last updated
01/28/2014
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