Individual
VALERIA LAWANA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
575A HARKRIDER ST, CONWAY, AR 72032-5631
(501) 679-0232
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A005879
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266245758
—
AR
Enumeration date
12/20/2018
Last updated
09/08/2023
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