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Individual

SUNNY BRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4620 ROGERS AVE STE 101, FORT SMITH, AR 72903-3121
(479) 384-5380
(479) 384-5382
Mailing address
4620 ROGERS AVE STE 101, FORT SMITH, AR 72903-3121
(479) 384-5380
(479) 384-5382

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004595
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
212334758
AR
Enumeration date
02/08/2016
Last updated
07/14/2023
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