Individual
TAO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 E UNIVERSITY, MAGNOLIA, AR 71753-2181
(870) 235-5255
Mailing address
811 OLIVE, MAGNOLIA, AR 71753-3020
(870) 345-0250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A006185
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A006185
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
11/05/2019
Last updated
10/23/2024
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