Individual
JOEL DAVID LARRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2301 S 56TH ST, FORT SMITH, AR 72903-3755
(866) 933-8387
Mailing address
2301 S 56TH ST, FORT SMITH, AR 72903-3755
(866) 933-8387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A006146
AR
Other
Enumeration date
05/23/2019
Last updated
06/30/2022
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