Individual
MARY L MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1900 MALVERN AVE STE 401, HOT SPRINGS, AR 71901-7779
(501) 623-6455
Mailing address
1900 MALVERN AVE STE 401, HOT SPRINGS, AR 71901-7779
(501) 623-6455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AO1188 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167094758
—
AR
Enumeration date
08/06/2007
Last updated
07/19/2011
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