Individual
MARTHA LYNN BRAWNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2882 N BERMUDA AVE, FAYETTEVILLE, AR 72704-6034
(479) 871-6925
Mailing address
2882 N BERMUDA AVE, FAYETTEVILLE, AR 72704-6034
(479) 871-6925
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
122655
AR
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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