Individual
ELIZABETH STRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
525 WESTERN AVE STE 305B, CONWAY, AR 72034-4982
(501) 205-4990
(501) 205-4993
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004033
AR
363LF0000X
Family Nurse Practitioner
ATP-000601
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200997758
—
AR
Enumeration date
01/31/2014
Last updated
08/03/2023
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