Individual
MRS. ERIN SANDEFUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1301 WHITE DR, BATESVILLE, AR 72501-9467
(870) 793-5504
(870) 262-3253
Mailing address
1301 WHITE DR, BATESVILLE, AR 72501-9467
(870) 307-8326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004295
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210465758
—
AR
01
—
5BA31
BCBS
AR
Enumeration date
02/09/2015
Last updated
05/27/2016
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