Individual
WILBY M SIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703-4815
(479) 571-6363
(479) 684-3941
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A004590
AR
Other
Enumeration date
09/27/2016
Last updated
05/10/2017
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