Individual
LAURA ANN HANNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1940 S WHITEHEAD DR, DE WITT, AR 72042-2906
(870) 946-4505
(870) 946-3357
Mailing address
245 MADISON ST, CLARENDON, AR 72029-2706
(870) 747-8011
(870) 747-3632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125421
AR
Other
Enumeration date
09/15/2021
Last updated
09/19/2023
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