Individual
MS. CAROL A TRAPHAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3211 N. NORTH HILLS BLVD., SUITE 110, FAYETTEVILLE, AR 72703
(479) 571-4338
(479) 571-4015
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
S001048
AR
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
S001048
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00425
RNP
AR
01
—
R21839
RN
AR
Enumeration date
08/18/2006
Last updated
03/07/2023
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