Organization
DIVINE INTERVENTIONS
Active
Other names
Compassion Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY M BRANSON APN (MANAGER)
(479) 839-2670
Entity
Organization
Contact information
Practice address
425-A N. CENTENNIAL, WEST FORK, AR 72774-1006
(479) 839-2670
(479) 294-6067
Mailing address
PO BOX 1006, WEST FORK, AR 72774-1006
(479) 839-2670
(479) 294-6067
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A02935
AR
Other
Enumeration date
10/10/2008
Last updated
10/14/2008
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