Individual
JUDY LYNN PETERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
(479) 587-5822
Mailing address
3885 TARA ST, SPRINGDALE, AR 72762-7947
(479) 466-4393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AO1621
AR
Other
Enumeration date
07/23/2006
Last updated
07/09/2007
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