Individual
BETHANY MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-3396
Mailing address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-3396
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A004840
AR
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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