Individual
KAITLIN RENE HIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C, PM
Contact information
Practice address
701 N. WALTON BLVD. NORTHWEST COUNSELING INC., UNIT 6, BENTONVILLE, AR 72712
(479) 855-5704
(479) 268-4170
Mailing address
701 N. WALTON BLVD., UNIT 6, BENTONVILLE, AR 72712
(479) 855-5704
(479) 268-4170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
107214
OK
363LF0000X
Family Nurse Practitioner
107214
OK
363LF0000X
Family Nurse Practitioner
221171
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
107214
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
221171
AR
Other
Enumeration date
06/08/2017
Last updated
01/24/2023
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