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GRACE UNDERHILL SOLMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
2719 SE I ST, BENTONVILLE, AR 72712-3996
(479) 273-5437
Mailing address
2719 SE I ST, BENTONVILLE, AR 72712-3996
(479) 273-5437

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0024181211
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
225954
AR
363LP0200X
Pediatric Nurse Practitioner
RN281628
GA

Other

Enumeration date
10/04/2018
Last updated
10/30/2023
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