Individual
WELLESLEY FITZHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
108 W TYLER AVE, WEST MEMPHIS, AR 72301-4221
(870) 732-1191
(870) 732-4091
Mailing address
108 W TYLER AVE, WEST MEMPHIS, AR 72301-4221
(870) 732-1191
(870) 732-4091
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A004217
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205408758
—
AR
Enumeration date
10/03/2014
Last updated
01/29/2016
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