Individual
CAROL G UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1484 W 1ST ST N, PRESCOTT, AR 71857-3339
(870) 887-0155
Mailing address
1484 W 1ST ST N, PRESCOTT, AR 71857-3339
(870) 887-0155
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
A01154
AR
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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