Individual
CAROL GENE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(870) 283-9746
Mailing address
24 PARK DR, SIDNEY, AR 72577-5001
(870) 283-9746
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
222605
AR
Other
Enumeration date
01/09/2023
Last updated
07/06/2023
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