Individual
AMANDA CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 NORTHTOWN, MOUNTAIN HOME, AR 72653-3105
(870) 425-3131
Mailing address
614 NORTHTOWN, MOUNTAIN HOME, AR 72653-3105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004761
AR
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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