Individual
PAGE AUGUSTA NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5302 W VILLAGE PKWY STE 3, ROGERS, AR 72758-8139
(479) 282-2737
(877) 671-7762
Mailing address
5280 W MOONLIGHT DR, FAYETTEVILLE, AR 72704-6791
(870) 688-2907
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
126229
AR
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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