Individual
AUSTIN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-1000
Mailing address
2961 N OAK BAILEY DR., FAYETTEVILLE, AR 72703
(479) 409-8604
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R107202
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
226087
AR
Other
Enumeration date
07/19/2023
Last updated
09/17/2023
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