Individual
KARA DANIELLE TEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
136 HEALTH PARK DR, MENA, AR 71953-9072
(479) 437-3449
Mailing address
PO BOX 1848, MENA, AR 71953-1841
(479) 437-3449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004009
AR
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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