Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE LINDA SHERWOOD CRNA (STAFF ANESTHESIST)
(479) 443-4301
Entity
Organization
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
4847 W WEDINGTON DR, FAYETTEVILLE, AR 72704-5856
(479) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
282NOOOOOX
AR
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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