Individual
MAGGIE BETHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
10144 HIGHWAY 284, WYNNE, AR 72396-8084
(870) 317-6628
Mailing address
904 HOLIDAY DR STE 404, FORREST CITY, AR 72335-9157
(870) 633-0215
(870) 633-0219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216404
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277884758
—
AR
Enumeration date
06/18/2021
Last updated
07/28/2022
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