Individual
MRS. MARY DARLENE ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A. P. N.
Contact information
Practice address
1 MERCY LN, SUITE 502, HOT SPRINGS, AR 71913-6442
(501) 321-3573
Mailing address
1 MERCY LN, SUITE 502, HOT SPRINGS, AR 71913-6442
(501) 321-3573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01622
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164430758
—
AR
01
—
5Y1357470
MEDICARE PTAN
—
01
—
P00418835
RAILROAD MEDICARE
—
Enumeration date
08/31/2005
Last updated
04/26/2010
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