Individual
MANDI NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2905 S WALTON BLVD STE 17, BENTONVILLE, AR 72712-7848
(479) 269-5105
Mailing address
PO BOX 5751, BELLA VISTA, AR 72714-0751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
232056
AR
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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