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Individual

SARAH M MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703-4815
(479) 442-7322
(479) 442-7379
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
990837
CO
363LF0000X
Family Nurse Practitioner
15961
TN
363LF0000X
Family Nurse Practitioner
Primary
217461
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273573758
AR
Enumeration date
09/12/2011
Last updated
07/28/2023
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