Individual
AMANDA E BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1280 E STEARNS ST, SUITE 5, FAYETTEVILLE, AR 72703-6241
(479) 445-6460
(479) 445-6719
Mailing address
1280 E STEARNS ST, SUITE 5, FAYETTEVILLE, AR 72703-6241
(479) 445-6460
(479) 445-6719
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A03342ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184759758
—
AR
Enumeration date
11/15/2006
Last updated
06/04/2013
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