Individual
ANDREA NICHOLE BOUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 425-6971
(870) 508-8900
Mailing address
630 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 425-6971
(870) 508-8900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E7518
AR
207V00000X
Obstetrics & Gynecology Physician
E7518
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199344001
—
AR
01
—
5RR17
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/19/2010
Last updated
12/14/2022
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