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Individual

SHAWNTE MARIE FARMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
701 N WALTON BLVD # 6, BENTONVILLE, AR 72712-4548
(479) 855-5704
Mailing address
701 N WALTON BLVD STE 6, BENTONVILLE, AR 72712-4548
(870) 615-0368

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R087904
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A006053
AR

Other

Enumeration date
10/25/2018
Last updated
03/09/2022
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