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Individual

LAUREN WILLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3501 CARRIAGE HILL DR STE B, PARAGOULD, AR 72450-5329
(870) 573-2200
(870) 573-2300
Mailing address
3501 CARRIAGE HILL DR STE B, PARAGOULD, AR 72450-5329
(870) 573-2200
(870) 573-2300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R091132
AR
363LF0000X
Family Nurse Practitioner
2015020492
MO
363LF0000X
Family Nurse Practitioner
Primary
A004476
AR
373H00000X
Day Training/Habilitation Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871555185
NPI
Enumeration date
07/19/2013
Last updated
11/28/2022
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