Organization
CLEAR CREEK WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERON MARTIN APRN (OWNER)
(479) 283-9958
Entity
Organization
Contact information
Practice address
5203 WILLOW CREEK DR STE B, SPRINGDALE, AR 72762-0876
(479) 301-8970
Mailing address
2811 SPRINGDALE AVE # 8050, SPRINGDALE, AR 72764-4358
(479) 283-9958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
09/06/2024
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