Individual
MISTI PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3211 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4007
(479) 927-2100
Mailing address
3211N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703
(479) 571-4338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01714ANP
AR
Other
Enumeration date
06/12/2006
Last updated
04/27/2009
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