Individual
MR. GARRETT WADE KRISELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
810 S ROCK ST, SHERIDAN, AR 72150-7066
(870) 917-2289
(501) 200-5796
Mailing address
810 S ROCK ST, SHERIDAN, AR 72150-7066
(870) 917-2289
(501) 200-5796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
216170
AR
363LF0000X
Family Nurse Practitioner
Primary
216170
AR
Other
Enumeration date
06/14/2021
Last updated
03/19/2024
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