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Individual

MRS. TRACY R HARWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4105 NEWLON RD, FORT SMITH, AR 72904-2126
(479) 974-1270
(479) 974-1271
Mailing address
3505 S 79TH ST, FORT SMITH, AR 72903-6250
(479) 709-8686
(479) 709-8687

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
A03217
AR
363LF0000X
Family Nurse Practitioner
Primary
A003217
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178809758
AR
05
200235270A
OK
Enumeration date
03/10/2009
Last updated
01/09/2023
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