Individual
MATTHEW BURROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MNSC, APRN
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 709-7433
Mailing address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 709-7433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004724
AR
363LA2100X
Acute Care Nurse Practitioner
RN080934
AR
363LA2200X
Adult Health Nurse Practitioner
RN080934
AR
363LG0600X
Gerontology Nurse Practitioner
RN080934
AR
Other
Enumeration date
03/04/2016
Last updated
04/19/2016
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