Individual
MRS. LORIE OSWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN APN MNSC
Contact information
Practice address
1200 SE 28TH ST, STE 2, BENTONVILLE, AR 72712-3881
(479) 271-0005
(479) 271-0005
Mailing address
1200 SE 28TH ST, STE 2, BENTONVILLE, AR 72712-3881
(479) 271-0005
(479) 271-0005
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A03018ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191390758
—
AR
Enumeration date
04/17/2008
Last updated
05/24/2012
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