Individual
MS. CAROL ED AGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A01242 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163106758
—
AR
Enumeration date
10/25/2006
Last updated
08/26/2015
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