Individual
TRACY NEDBALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
(501) 753-5463
Mailing address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
(501) 753-5463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L035367
AR
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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