Individual
TANIA KAY BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1001 W MAIN ST, CHARLESTON, AR 72933-8908
(479) 208-1880
Mailing address
PO BOX 174, CHARLESTON, AR 72933-0174
(479) 208-1880
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG07190144
AR
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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