Individual
NINA E DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2918 LOUIS SESSIONS ST, LAKE VILLAGE, AR 71653-6049
(870) 265-5343
(870) 265-5686
Mailing address
2918 LOUIS SESSIONS ST, LAKE VILLAGE, AR 71653-6049
(870) 265-5343
(870) 265-5686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005192
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222594758
—
AR
01
—
585952ZHOW
MEDICARE
AR
01
—
A005192
AR LICENSE
AR
Enumeration date
06/26/2017
Last updated
07/21/2022
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