Individual
DOROTHY FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
907 SKYLINE DR, VAN BUREN, AR 72956-2547
(479) 650-4314
(479) 474-8457
Mailing address
907 SKYLINE DR, VAN BUREN, AR 72956-2547
(479) 650-4314
(479) 474-8457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0074442 D856337
OK
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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