Individual
ASHLEIGH G VANBLARCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 636-0200
(479) 986-3448
Mailing address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 636-0200
(479) 986-3448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
227298
AR
363L00000X
Nurse Practitioner
4704285996
MI
363LA2100X
Acute Care Nurse Practitioner
0024174061
VA
Other
Enumeration date
09/30/2016
Last updated
12/09/2024
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