Individual
PAMELA J CHRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3400 SE MACY RD, 18, BENTONVILLE, AR 72712-7841
(479) 845-0880
(479) 845-8887
Mailing address
3400 SE MACY RD, 18, BENTONVILLE, AR 72712-7841
(479) 845-0880
(479) 845-8887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01742
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152203758
—
AR
Enumeration date
08/10/2006
Last updated
01/09/2016
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