Individual
LRAE URAINUZ WINTERCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
201 S 19TH ST STE A, ROGERS, AR 72758-1123
(479) 372-3700
(479) 207-9643
Mailing address
201 S 19TH ST STE A, ROGERS, AR 72758-1123
(479) 372-3700
(479) 207-9643
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
124349
AR
Other
Enumeration date
03/23/2020
Last updated
06/09/2022
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