Individual
NATHAN A GLADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
103 WOOD DUCK LN, LAKE VILLAGE, AR 71653-7590
(870) 538-7225
Mailing address
103 WOOD DUCK LN, LAKE VILLAGE, AR 71653-7590
(870) 538-7225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
216314
AR
363LF0000X
Family Nurse Practitioner
216314
AR
Other
Enumeration date
06/14/2021
Last updated
07/19/2021
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