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Individual

ASHLEE VANHOUTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
245 MADISON ST, CLARENDON, AR 72029-2706
(870) 747-3381
(870) 747-3631
Mailing address
245 MADISON ST, CLARENDON, AR 72029-2706
(870) 747-3057
(870) 747-3631

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004796
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201477729
AR
05
201478729
AR
05
201479729
AR
05
201481729
AR
05
201482729
AR
05
203673729
AR
Enumeration date
06/24/2016
Last updated
11/05/2019
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