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Individual

SCHANTZ A FLORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, PMHNP-BC

Contact information

Practice address
1001 SCHNEIDER DR, MALVERN, AR 72104-4811
(501) 332-7360
Mailing address
1001 SCHNEIDER DR, MALVERN, AR 72104-4811
(501) 332-7360
(501) 332-1067

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
123791
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238850758
AR
Enumeration date
02/12/2020
Last updated
02/20/2026
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