Individual
MRS. HEATHER HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5434 W WALSH LN, ROGERS, AR 72758-8946
(479) 443-5575
Mailing address
5434 W WALSH LN, ROGERS, AR 72758-8946
(479) 443-5575
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
218964
AR
Other
Enumeration date
02/24/2022
Last updated
08/25/2023
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