Individual
AMANDA CHITSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6166 HWY 206 WEST, HARRISON, AR 72601-9235
(870) 424-7070
(870) 424-6616
Mailing address
PO BOX 2458, MOUNTAIN HOME, MOUNTAIN HOME, AR 72654-2458
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01409
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157479758
—
AR
01
—
500007023
RAILROAD #
AR
Enumeration date
03/14/2006
Last updated
10/22/2014
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