Individual
JANET R. CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3501 W. E. KNIGHT DRIVE, FORT SMITH, AR 72903-6248
(479) 709-6700
(479) 709-6768
Mailing address
5401 ELLSWORTH ROAD, FORT SMITH, AR 72903-3219
(479) 314-1101
(479) 314-4704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A02916ANP
AR
363LF0000X
Family Nurse Practitioner
A02916 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161092758
—
AR
Enumeration date
08/18/2006
Last updated
12/12/2011
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