Individual
NICOLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6030
(479) 314-2021
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6030
(479) 314-2021
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A005098
AR
Other
Enumeration date
03/19/2017
Last updated
08/24/2022
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