Individual
HANNAH GRACE EVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
Mailing address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-13147
AR
207Q00000X
Family Medicine Physician
E13147
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2017
Last updated
08/09/2022
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