Individual
NANCY RECHTFERTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(476) 750-0130
(479) 750-0937
Mailing address
530 COURTNEY LN, ROGERS, AR 72756-9337
(479) 544-6870
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
163WP0200X
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
AR
Enumeration date
11/15/2013
Last updated
11/15/2013
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