Individual
MISTIE VANNATTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2415 AUDLEY BOLTON DR, SEARCY, AR 72143-3154
(501) 827-6301
Mailing address
2415 AUDLEY BOLTON DR, SEARCY, AR 72143
(501) 827-6301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125822
AR
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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